HomeMy WebLinkAboutR 2015-283-E DSS - United Way of the Greater Triangle for fostering youth opportunities DocuSign Envelope ID:48959198-4FAC-490E-95C3-5A542B2E055D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: United Way of the Greater Triangle Party/Vendor Contact Person: Angie Welsh Contact
Phone: Party/Vendor Address: 2400 Perimeter Park Drive, Suite 150 City Morrisville State:NC Zip:
27560 Department: DSS Amount: $60,000 Purpose: Fostering Youth Opportunities Budget Code(s): 104000205-
Vendor 4 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 06/01/15 Approved by Board Yes[]No❑ Agenda
Date:
This agreement is approved as to technical formrZ hied by:
.0 I� �,OS 6vu 6/24/2015
Department Director's Signature Date:
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Information Technologies
(Applicable only to hardwarelsofiware 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 ins ur ao�t 'r" ',specifications,and requirements:
Q�ASA. c6vvt,e,ti0 6/24/2015
Office of the Risk Management Officer Date:
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSignne�d�by:
�
�AIA�' �,"-"'D 6VU 6/24/2015
Office of the Chief Financial Officer ,32E)PP Ad Date:
Le al Services
This agreement is approved as to legal form and su cleflWigned by:
Office of the County Attorney Date: 6/25/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd2dorangecountvnc.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: