2020-872-E Social Svc - PORCH Chapel Hill-Carrboro outside agency agreement

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DocuSign Envelope ID:8173BBCF-1050-4110-B8C4-4622BA864EOB ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: PORCH Chapel Hill-Carrboro Party/Vendor Contact Person: Debbie Horwitz Contact Phone: 919-971-1749 Party/Vendor Address:218 Lake Manor Road City: Chapel Hill State:NC Zip: 27516 Department: Social Services Amount: $3,780 Purpose:FY 2020-2021 Outside Agency/Human Services Performance Agreeement Budget Code(s): 10495050-720277 Vendor#803776(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 7/l/2020 Approved by Board Yes®No❑ Agenda Date: 6/16/2020 This agreement is approved as to to eaidwm snd content: Department Director's Signature NOUn Gl1 l 6w Date: 10/28/2020 Information Technolozies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency maser§aQ%.susx rbVl�t,f. 6 tandards,specifications, and requirements: Q Office of the Risk Management Officer F Date:10/14/2020 Financial Services This instrument has been pre-audited' mom#required by the Local Government Budget and Fiscal Control Act: (� 11/3/2020 Office of the Chief Financial Officer Date: Legal Services This agreement is approved as t 94cf6bwond sufficiency: p�Office of the County Attorney "\ Date: 11/5/2020 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion @ singersoll@orangecog=nc.gov ,nc.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: PORCH Chapel Hill-Carrboro Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 7118