HomeMy WebLinkAboutR 2015-301-E DSS - LIFE Skills Foundation for fostering youth opportunities DocuSign Envelope ID:8C992E8F-344C-4404-AO07-436 FO BCD 1197
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: L.I.F.E. Skills Foundation Party/Vendor Contact Person: Alex Protzman Contact Phone:
(919) 265-9667 Party/Vendor Address: 2670 Durham-Chapel Hill Blvd City Durham State: NC Zip: 27707
Department: Social Services Amount: 517.000.00 Purpose: Fostering Youth Opportunities Budget Code(s):
Vendor 9 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ Nog Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date July 1. 2015 Approved by Board Yes❑No® Agenda
Date:
This agreement is approved as to technical formr_N "d by:
A 1n.Cl� (hS 6v, 6/11/2015
Department Director's SignatureE,�,ssAes Date:
Information Technologies
(Applicable only to hardware/sofhvare 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 insur sffimfilaDd5;'sppecifications, and requirements:
Q�ASA. r,6Vlit,t�0
Office of the Risk Management Officer Date: 6/12/2015
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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: DocuSigned by:
�M/,L to D""`bvu 6/29/2015
Office of the Chief Financial Officer DF- FAB4ZB Date:
Leual Services
This agreement is approved as to legal form and suf q igned by:
Office of the County Attorney 1 Date: 6/29/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @,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:
Revised 10114
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