Orange County NC Website
DocuSign Envelope ID:29B34BCC-1At1-4063-9EE7-168E6261E415 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pathways to Change, Inc. Party/Vendor Contact Person: John C. Williamson Contact Phone: <br /> 919-245-3309 Party/Vendor Address: 960 Corporate Drive City Hillsborough, State: NC Zip: 27278 Department: <br /> Finance & Administrative Services Amount: $11,351 Purpose: FY 2020-21 Outside Agency/Human Services <br /> Performance Agreeement Budget Code(s): 10495050-710015 Vendor# 800060 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> 7/l/2020 Approved by Board Yes®Nor-1 Agenda Date: 6/16/2020 <br /> DocuSigned by: <br /> This agreement is approved as to technical fo fr=78HEFC51493 <br /> d_gontel}b:� 12/22/2020 <br /> Department Director's Signature .. Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> DocuSigned by: <br /> This agreement is approved for sufficiency of ins u ar 6fkaf$"s ecifications,and requirfTJ2!s/2020 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> DocuSigned by: <br /> This instrument has been pre-audited in the man ferp"e4&AbgAWa1 Government Budget Fiscal Control Act: <br /> ... /2 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409 Date: <br /> Legal Services <br /> DocuSigned by: <br /> This agreement is approved as to legal form and suft4035CB8304CA4A9 <br /> cy 12/23/2020 <br /> ew_ <br /> Office of the County Attorney ... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Allen Coleman upon completion @ acoleman@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br />