HomeMy WebLinkAboutR 2015-384-E Finance - A Helping Hand - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: E19FOB55-C788-42EE-B1CD-2C724D1698F4
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone: 919-403-5555
Party/Vendor Address: 1502 W.NC Hwy 54, Suite 405 City Durham State:NC Zip: 27707 Department: Finance&
Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 720085
Vendor 4 800034 (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 tae content:
Department Director's Signature �,AIAbIn, Date: 7/31/2015
232DFFC2CFA647B...
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 i^cdftandards,specifications,and requirements:
7�7FDcF91768cuQA sa, (6vvt,&b 8/2/2015
Office of the Risk Management Officer _ D ate:
Financial Services
This instrument has been pre-audited in th RffiffgVd$Y'ed by the Local Government Budget and Fiscal Control Act:
�A.U�, �,A;Wvu 7/31/2015
Office of the Chief Financial Officer 232DE Date:
Legal Services
This agreement is approved as to legal xciency:
Office of the County Attorneys Date:8/3/2015
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:
(A Helping Hand)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115