HomeMy WebLinkAboutR 2015-306 Health - Orange County Schools for enrolling students in Kindergarten Jump Start Program $25,100 ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Schools Party/Vendor Contact Person: Dr. Jake He Contact Phone: 919-
732-8126 Party/Vendor Address: 200 E. King Street City Hillsborough State: NC Zip: 27278 Department: Health
Amount: $25,100.00 Purpose: Enroll students in Kindergarten Jump Start Program Budget Code(s): 10412020-
681000-71453 Vendor# 178 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No X Contract Type:
(Check one) New X Renewal ❑ Amendment ❑ Effective Date 6/1/15 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical orm and content:
Department Director's Signature M— / 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 specificationsi.
;A3
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer X Date:
Financial Services
This instrument has been pre-audited ira-4 er equired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer c-
; w jQ11n Date:
C4_1_0
Legal Services
This agreement is approved as to 1 a fa an su iency:
Office of the County Attorney Date:w
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydg-oran eg countync.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:
Orange County Outside Agency Performance Agreement Page 6 of 6