HomeMy WebLinkAboutR 2015-245-E Health - Forum for Youth Investment-Ready by 21 for coaching and consulting services DocuSign Envelope ID: 76A32744-ADOD-41DA-81B5-2F410532994B
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Forum for Youth Investment/Readyby 21 Party/Vendor Contact Person: Karen Pittman Contact
Phone: 202-207-3333 Party/Vendor Address: 7064 Eastern Avenue, NW City Washington State: DC Zip: 20012
Department: Health Amount: 8750 Purpose: Coaching and consulting services Budget Code(s): 10412020-630000-
71456 Vendor 4 62972 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check
one)New ® Renewal ❑ Amendment ❑ Effective Date 5-8-15 Approved by Board Yes❑ No❑ Agenda
Date:
This agreement is approved as to to M('�eff1uF&rM id ontent:
(h 5/18/2015
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 sufficien Fi gce:''sttLandards,specifications,and requirements:
ausa, (hm,&b 5/19/2015
Office of the Risk Management Office F-BSFQ47-6899449 Date:
Financial Services
This instrument has been pre-audited i q�a � diquired by the Local Government Budget and Fiscal Control Act:
A U�
Office of the Chief Financial Officer o�F�e Date: 6/1/2015
Legal Services
This agreement is approved as t�r�ftnvftwd sufficiency:
Office of the County Attorneys Date: 6/1/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 05/15-AMM 4