2020-796-E Finance-Boomerang Youth Inc. outside agency agreement

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DocuSign Envelope ID: BE69DOF4-65F9-4511-85C7-BCBB1 0605A1 1 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Boomerang Youth, Inc. Party/Vendor Contact Person: Sonia Frischemeier Contact Phone: 919-968-2146 Party/Vendor Address: 825A N. Estes Drive City Chapel Hill State: NC Zip: 27514 Department: Finance & Administrative Services Amount: $13,358 Purpose: FY 2020-21 Outside Agency/Human Services Performance Agreeement Budget Code(s): 10495050-710015 Vendor# 800060 (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®Nor-1 Agenda Date: 6/16/2020 This agreement is approved as to technical form g9WWeW!by. r,AAlul& Ft,bUd,OOt,& 12/21/2020 Department Director's Signature Date: 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 insuran 0.6peccifications,and requirements: QLISA C,Ovvu lf0 12/28/2020 Office of the Risk Management Officer e Date: Financial Services This instrument has been pre-audited in the mann "Ythe Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer Date: 12/30/2020 Legal Services Doc igned by: This agreement is approved as to legal form ndency: rvj` 12/30/2020 Office of the County Attorney 4035CB8304CA4A9... Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Allen Coleman upon completion @ acoleman@orangecountync.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: