HomeMy WebLinkAboutR 2014-572 Aging - Cumberland Community Action Program, Inc. for Volunteer Income Tax Assistance $7,222DocuSign Envelope ID: E6DE1BE9- E862- 4A9D- 8B00- 08AB81A8942A
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Cumberland Community Action Program, Inc. Party/Vendor Contact Person: Jodi Phelps
Contact Phone: (910)485 -6131 Party/Vendor Address: P O Box 2009 City Fayetteville State: NC Zip: 28302
Department: Aging Amount: $7,222 Purpose: Volunteer Income Tax Assistance Budget Code(s): 10434005-
448905 Vendor # (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type:
(Check one) New ❑ Renewal ® Amendment ❑ Effective Date 11/03/14 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature A�t.tU_ �d V Date: 11/20/2014
B7E962D1BF454FA...
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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned ""by:
''�
Office of the Risk Management Officer Qus . r,6vvt,e 6 Date: 11/24/2014
7FDCF9176800498...
Financial Services
This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer F •Qu�e�n� _)_ V�Rti Date: 11/24/2014
2F982EC44C2C444...
Legal Services
This agreement is approved as to Ie �I foym ggd sufficiency:
ocu Igoe y:
Office of the County Attorney 1 4�� Date: 11/25/2014
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountynL.,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: