HomeMy WebLinkAboutR 2015-379-E Finance - Dispute Settlement Center, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:AE9D9297-6804-4094-8035-98E5531C978A
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Dispute Settlement Center, Inc. Party/Vendor Contact Person: Frances W. Henderson Contact
Phone: (919) 919 8800, x11 Party/Vendor Address: 302 West Weaver Street City Carrboro State: NC Zip: 27510
Department: Finance & Adm. Srv. Amount:$ 76,000 Purpose: Outside Agency Performance Agreement Budget
Code(s): 10495050 710003 Vendor 4 800029 (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 technic bw wAa ent:
Department Director's Signature
r m/,L t,A+bvu Date: 7/28/2015
232DFFC2CFA847B...
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 Pare""st''anndards,specifications,and requirements:
Q�SA (bvvt,e,ttb 7/28/2015
Office of the Risk Management Officer ,Bnc.�si7�AnnaaR__ Date:
Financial Services
This instrument has been pre-audited in the ssrgqaaed by the Local Government Budget and Fiscal Control Act:
EAVJ �bin, 7/28/2015
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to le f&r;miwad*ufficiency:
Office of the County Attorney Date: 7/28/2015
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:
(Dispute Settlement Center,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115