HomeMy WebLinkAboutR 2015-449-E Finance - OC Disability Awareness Council - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: C50BD8FE-B3AB-441E-B415-6E21429FC05D
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: OC Disability Awareness Council Party/Vendor Contact Person: Timothy Miles Contact
Phone: 919-245-4337 Party/Vendor Address: 503 W. Franklin Street Room 113 City Chapel Hill State: NC Zip:
27516 Department: Finance & Adm. Srv. Amount:$ 4,000 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 710032 Vendor 4 800037 (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 technic dWntent:
Department Director's Signature pm/,L t,a+bvu Date: 8/18/2015
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
5us . (,bvvte& Date: 8/17/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in rpo'L}MRge� quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer to+bvu Date: 8/18/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le alpfo� na gysufficiency:
Office of the County Attorney ✓ 0 Date: 8/18/2015
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:
(OC Disability Awareness Council)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115