HomeMy WebLinkAboutR 2015-450-E Finance - The Exchange Club's Family Center of Alamance - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: DB61356E-7ACB-4248-A6B4-08C4BC04350D
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: The Exchange Club's Family Center in Alamance Party/Vendor Contact Person: Cynthia
Napoleon-Hanger Contact Phone: 336-748-9028 Party/Vendor Address: 200 N.Main Street City Graham State:NC
Zip: 27253 Department: Finance & Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 719069 Vendor 4 62677 (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 tec ' , .c gR. d,�WO� content:
Department Director's Signature L232DFFC2CFA847B m/,L to D""`bvu Date: 8/18/2015
..
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:
''111L
Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date: 8/18/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the WW jrl;guired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer , Date: 8/18/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
ned by:
Office of the County Attorney F7, 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:
(The Exchange Club's Family Center in Alamance)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115