HomeMy WebLinkAboutR 2015-362-E Finance - OCIM - Samaritan Relief Ministry - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:8BB7B367-E293-48C0-8E6E-6C2D2ACBDD69
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Orange Congregations in Mission-Samaritan Relief Ministry Party/Vendor Contact Person:
Rev. Sharon S. Freeland Contact Phone: (919) 732-6194 x10 Party/Vendor Address: 300 Millstone Drive City
Hillsborough State:NC Zip: 27278 Department: Finance&Adm. Srv. Amount:$ 33,415 Purpose: Outside Agency
Performance Agreement Budget Code(s): 10495050 710031 Vendor 4 800010 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date
July 1,2015 Approved by Board YesX No❑ Agenda Date:June 16,2015
This agreement is approved as to tec T Wrlffedftcontent:
rp tA.+bvu 7/28/2015
Department Director's Signature �B�FaazB... 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 sufficiency o r�FDCF9 4WL ef'"t lid1aLrds,specifications,and requirements:
SAu bvvte tt0 7/28/2015
Office of the Risk Management Officer 17680 0498... Date:
Financial Services
This instrument has been pre-audited in th 7P1a ferf iM ed by the Local Government Budget and Fiscal Control Act:
M 7/28/2015
Office of the Chief Financial Officer 23 EA847A__ Date:
Legal Services
This agreement is approved as to 1 sufficiency:
Office of the County Attorney �� Date: 2/28/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd yorangecou 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:
(Orange Congregations in Mission-Samaritan Relief Ministry)
Orange County Outside Agency Performance Agreement Page 7 of 7
Rev. 6115