HomeMy WebLinkAboutR 2015-419-E Finance - Chapel Hill Training Outreach Project, Inc./KidSCope - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: ED2382C9-A179-4082-A143-C434266568CD
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Chapel Hill Training Outreach Project, Inc./KidSCope Party/Vendor Contact Person: Mike
Mathers Contact Phone: 919-644-6590 x 4810 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill
State: NC Zip: 27514 Department: Finance & Adm. Srv. Amount:$ 75,000 Purpose: Outside Agency Performance
Agreement Budget Code(s): 10495050 710015 Vendor 4 800060 (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 form and content:
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:
^--DocuSign ed by:
Office of the Chief Information Officer rNAL l "_ l,(.1-bvu Date: 8/10/2015
232DFFC2CFA847B...
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned""by:
''111L
Office of the Risk Management Office CA7FDCF9176800498...uSa (hm,,ttb Date: 8/10/2015
Financial Services
This instrument has been pre-audited in the maq
Cu Fr rygpired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
_I—P&(At bVu Date: 8/10/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to�"fgjWA14.sufficiency:
Office of the County Attorney Date: 8/11/2015
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:
(Chapel Hill Training Outreach Project,Inc./KidSCope)
Orange County Outside Agency Performance Agreement Page 7 of 7
Rev. 6115