2021-247-E-Human Rights-The Marian Cheek Jackson Center outside agency agreement

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DocuSign Envelope ID:70FA685C-23OD-4616-AOFD-2C4EC50BBB3F ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: The Marian Cheek Jackson Center Party/Vendor Contact Person: George Barrett Contact Phone: 919-960-1670 Party/Vendor Address: 512 W. Rosemary St. City: Chapel Hill State: NC Zip: 27516 Department: Human Rights&Relations Amount: $21,319.00 Purpose: Outside Agency Performance Agreement Budget Code(s): Vendor# 62588 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one) New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date:July 1,2020 to June 30,2021 This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSigned by: iDepartment Director's Signature hvu` Date: 5/3/2021 Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (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 of insuranTE r p bp'ecci1ifications,and requirements: 'I rbvv�.c lib 5/4/2021 Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in the manner r u"LbyLocal Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: 5/4/2021 Legal Services This agreement is approved as to legal form and s effi6unoyned by Office of the County Attorney Alit liter �l aVlt. S(h Date: 5/5/2021 Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: I Office of the Clerk to the Board Date: i I j Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 1121