HomeMy WebLinkAboutR 2015-388-E Finance - Marian Cheek Jackson Center for Saving and Making History - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: 5205F23F-E354-4606-942C-6C5F71600920
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Marian Cheek Jackson Center for Saving and Making History Party/Vendor Contact Person:
Della Pollock Contact Phone: 919-357-5391 Party/Vendor Address: 512 W. Rosemary Street City Chapel Hill
State: NC Zip: 27516 Department: Finance & Adm. Srv. Amount:$ 8,000 Purpose: Outside Agency Performance
Agreement Budget Code(s): 10495050 719065 Vendor 4 838482 (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 technical fo � el�y:
bin,Department Director's Signature to D".�DFFE9EFAS+�B... Date: 7/29/2015
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 insuran �� pecifications,and requirements:
Q�ASA. rbvvt,e,tt0
Office of the Risk Management Officer F Date: 7/29/2015
Financial Services
This instrument has been pre-audited in the mann 72a2aF_FC9_CEA8_4,7R cQQ�'8l 961 ie Local Government Budget and Fiscal Control Act:
, M 7/29/2015
Office of the Chief Financial Officer __ D ate:
Legal Services
This agreement is approved as to legal OF 5Y M"ciency:
✓ l,}ry�` 7/30/2015
Office of the County Attorney 35CB8304CA4as.. Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLyorangecoun ne.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:
(Marian Cheek Jackson Center for Saving and Making History)
Orange County Outside Agency Performance Agreement Page 7 of 7
Rev. 6115