HomeMy WebLinkAboutR 2015-380-E Finance - OCIM - Meals on Wheels - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:90AE28E6-5DE8-4E61-B536-OOE33816BOE3
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Orange Congregations in Mission-Meals on Wheels 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:$ 17,000 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 4 #iw -content:
Department Director's Signature tA.+bvu DFFE9EFA84-7B... 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 of i tIt. Wri, Viso specifications,and requirements:
(�(� aryl ( 7/28/2015
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the ;F`im6bed by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer �,,A+bvu Date: 7/28/2015
Legal Services
This agreement is approved as to le %fficiency:
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 @ 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:
(Orange Congregations in Mission-Meals on Wheels)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115