HomeMy WebLinkAboutR 2015-395-E Finance - OC Rape Crisis Center - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:80D157E5-4F1A-4810-B2B8-EE640BAE05B1
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Orange County Rape Crisis Center Party/Vendor Contact Person: Shamecca Bryant Contact
Phone: 919-968-4647 Party/Vendor Address: 1506 E. Franklin St., PO Box 4722 City Chapel Hill State: NC Zip:
27514 Department: Finance & Adm. Srv. Amount:$ 30,000 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 710009 Vendor 4 800015 (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 ' bC .nd,:content:
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Department Director's Signature PMAL Date: 8/3/2015
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 o "[&17a§,gia s ndards,specifications,and requirements:
Q�SA rbvvte tt0 8/4/2015
Office of the Risk Management Officer � aeaa Date:
Financial Services
This instrument has been pre-audited in th quired by y the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer Date: 8/3/2015
Legal Services
This agreement is approved as to le i4 M*ftV1%fficiency:
Office of the County Attorney Date: 8/5/2015
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 County Rape Crisis Center)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115