HomeMy WebLinkAboutR 2015-441-E Finance - El Futuro, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: B9586FD4-5663-4F3F-8147-A6259742B4B5
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: El Futuro, Inc. Party/Vendor Contact Person: Luke Smith, MD Contact Phone: 919.688.7101
Party/Vendor Address: 136 E Chapel Hill Street City Durham State: NC Zip: 27701 Department: Finance & Adm.
Srv. Amount:$ 27,500 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 719049
Vendor 4 57915 (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 fmagigpntent:
Department Director's Signature r O'�4 to D""`bin, Date: 8/14/2015
232DFFC2C FA847 B...
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:
ri ,DocuSigneby:''11LL Office of the Risk Management Officer us& (,bnL b Date: 8/14/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Office
�A.U�, �,,A.IA UI Date: 8/14/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le a�foam adaufficiency:
ocu Igoe y
Office of the County Attorney ✓ Date: 8/14/2015
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:
(El Futuro,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115