HomeMy WebLinkAboutR 2015-394-E Finance - Compass Center for Women and Families - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:A7C6F33D-94AA-4E9D-9C4B-56A24EB7D30D
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Ardith Burkes
Contact Phone: 919-968-4610 Party/Vendor Address: 210 Henderson St.,PO Box 1057 City Chapel Hill State: NC
Zip: 27514 Department: Finance &Adm. Srv. Amount:$ 64,500 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 719063 Vendor 4 800019 (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 91),f"rfa content:
PA.U�, bin, 8/5/2015
Department Director's Signature 29FFC' FA847-9... Date:
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:
DocuSigned"" b D by:
''1L
Office of the Risk Management OfficerPCs& rbvvt,e ate: 8/5/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the rpm/,L 9pLii gAigVd by the Local Government Budget and Fiscal Control Act:
����(�� 8/5/2015
Office of the Chief Financial Officer �,"-"'D"nbvu Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved a to le aU, fficiency:
Office of the County Attorney ✓ Date: 8/5/2015
4035CB8304CA4A9...
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:
(Compass Center for Women and Families)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115