HomeMy WebLinkAboutR 2015-400-E Finance - Piedmont Wildlife Center - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: FFA2C826-5690-4F42-8E6E-2ADOBE9BB131
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Piedmont Wildlife Center Party/Vendor Contact Person: Gail Abrams Contact Phone: 919-
489-0900 Party/Vendor Address: 364 Leigh Farm Rd. City Durham State: NC Zip: 27707 Department: Finance &
Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 719032
Vendor 4 51232 (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 "Fbf GAM::content:
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Department Director's Signature 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 Maya""gWnddards,specifications,and requirements:
ausa rbvvte tt0 8/5/2015
Office of the Risk Management Officer FesF��zsese4� Date:
Financial Services
This instrument has been pre-audited in e Wifflffi@fief mpi,red by the Local Government Budget and Fiscal Control Act:
Pad bvu 8/6/2015
Office of the Chief Financial Officer 232aEEC2_CEABA2B__ Date:
Legal Services
This agreement is approved as to gj,r&T� sufficiency:
Office of the County Attorney Date: 8/7/2015
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:
(Piedmont Wildlife Center)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115