HomeMy WebLinkAboutR 2015-377-E Finance - Chapel Hill-Carrboro Meals on Wheels - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: CC04046A-B5EF-46B4-A803-5AA8F66A6F23
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Chapel Hill-Carrboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact
Phone: 919-942-2948 Party/Vendor Address: 1712 Willow Drive City Chapel HIII State: NC Zip: 27514
Department: Finance & Adm. Srv. Amount:$ 10,000 Purpose: Outside Agency Performance Agreement Budget
Code(s): 10495050 719053 Vendor 4 800080 (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 PfMiftnaftkontent:
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Department Director's Signature ,o+bvu DFFE9EFAS��B... Date: 7/28/2015
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 '�W ""�Ial1nLLdards,specifications,and requirements:
Office of the Risk Management Officer auSa (hm,,ttb Date 7/28/2015
Financial Services
This instrument has been pre-audited in.144eammitmwquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer PMAL t, bw /Date: 7 28/2015
Legal Services
This agreement is approved as to ga4`I ftaqt:sufficiency:
Office of the Count Attorney Date: 7/28/2015
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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:
(Chapel Hill-Carrboro Meals on Wheels)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115