HomeMy WebLinkAboutR 2015-410-E Finance - Ligo Dojo of Budo Karate - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:43E9B846-09E2-4994-94AC-B09174436B31
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone:919923-
6915 Party/Vendor Address: 2518 Millwood Court City Chapel Hill State:NC Zip: 27514 Department: Finance &
Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 719068
Vendor 4 60958 (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 techni b ".content:
Department Director's Signature r Date: 8/7/2015
232DFFC2CFA847B...
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""by:
''111L
Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date:8/7/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
--DocuSigne_ed by:
Office of the Chief Financial Officer P� (� l(1-bVu Date: 8/7/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to ggd 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:
(Ligo Dojo of Budo Karate)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115