HomeMy WebLinkAboutR 2015-382-E Finance - The Arc of the Triangle - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:6D93A671-B4B5-4AC8-9EAC-8F9F070B5EDA
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: The Arc of the Triangle Party/Vendor Contact Person: Robin Baker Contact Phone: 919 942-
5119 Party/Vendor Address: 208 North Columbia Street, Suite 100 City Chapel Hill State: NC Zip: 27514
Department: Finance & Adm. Srv. Amount:$ 5,000 Purpose: Outside Agency Performance Agreement Budget
Code(s): 10495050 719023 Vendor 4 50706 (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 form d content:
ocu$igned-by:
7/29/2015
Department Director's Signature blti Date:
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 of insurance standards,specifications,and requirements:
5AUS.DocuSigned""by:''11LL Office of the Risk Management Officer (,bvvt,e,ttb Date: 7/29/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in CPmamigamwguired by the Local Government Budget and Fiscal Control Act:
XIAL �,A+bvu
Office of the Chief Financial Officer Date: 7/29/2015
Legal Services
This agreement is approved as to 1 %T1W tufficiency:
Office of the County Attorney Date: 7/29/2015
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:
(The Arc of the Triangle)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115