HomeMy WebLinkAboutR 2015-420-E Finance - Big Brothers Big Sisters of the Triangle, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: 56F58E6E-B4D7-4C 1 5-A41 B-1 1760E69E95E
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Big Brothers Big Sisters of the Triangle,Inc. Party/Vendor Contact Person: CEO Kim Breeden
Contact Phone: 919.850.9772 Party/Vendor Address: 808 Aviation Parkway, Suite 900 City Morrisville State: NC
Zip: 27560 Department: Finance & Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 719039 Vendor 4 800044 (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 tech"kvAi waQontent:
Department Director's Signature PMAL t'"-+bVu Date: 8/10/2015
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:
''11LL
Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date: 8/10/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the Docu Enquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
bvu Date: 8/10/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to lei, ufficiency:
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:
(Big Brothers Big Sisters of the Triangle,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115