HomeMy WebLinkAboutR 2015-453-E Finance - Club Nova Community, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: F7F335BA-8B6B-4DF4-825C-8C793AOA9C6F
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Club Nova Community, Inc. Party/Vendor Contact Person: Karen Kincaid Dunn Contact
Phone: 919-968-6682 Party/Vendor Address: 103 D. West Main Street City Carrboro State: NC Zip: 27510
Department: Finance & Adm. Srv. Amount:$ 75,000 Purpose: Outside Agency Performance Agreement Budget
Code(s): 10495050 719048 Vendor 4 805426 (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 techniSW. dad content:
Department Director's Signature , Date: 8/21/2015
1j232DFFC2CFA847B
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 auSa 6bvv b Date: 8/21/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in thebm g� ,required by the Local Government Budget and Fiscal Control Act:
8/21/2015
Office of the Chief Financial Officer �b�' Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le �l fu in gUd sufficiency:
gne Office of the County Attorney ✓ Date: 8/21/2015
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:
(Club Nova Community,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115