HomeMy WebLinkAboutR 2015-440-E Finance - The Art Therapy Institute - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: 78F206FF-A138-4129-88A7-AC03812E2BD1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: The Art Therapy Institute Party/Vendor Contact Person: Kristin Linton Contact Phone: 919-
381-6068 Party/Vendor Address: 200 N. Greenboro St., Suite D-6, Carr Mill Mall City Carrboro State: NC Zip:
27510 Department: Finance & Adm. Srv. Amount:$ 1,000 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 720109 Vendor 4 (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 �gm ,content:
Department Director's Signature OMAL to D""`bvu Date: 8/14/2015
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"" b by:
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Office of the Risk Management Officer Date: 8/14/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in h aWq#X Epuired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer pm/,L tA+bvu Date: 8/14/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le al ora ark sufficiency:
ocu Igoe y:
8/14/2015
Office of the County Attorney ✓ Date:
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:
(The Art Therapy Institute)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115