HomeMy WebLinkAboutR 2015-457-E Finance - Communities In Schools of Orange County - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:6E4FDE4F-889C-4627-A1 B5-27D33C78A736
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Communities In Schools of Orange County Party/Vendor Contact Person: Sarah Shapard
Contact Phone: 919.967.6677 Party/Vendor Address: 210 N. Columbia Street,PO Box 9454 City Chapel Hill State:
NC Zip: 27514 Department: Finance & Adm. Srv. Amount:$ 78,800 Purpose: Outside Agency Performance
Agreement Budget Code(s): 10495050 710034 Vendor 4 26951 (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"gA�Abid content:
Department Director's Signature PAdtiL �,AIAbIn, Date: 8/21/2015
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:
''111L
Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date: 8/20/2015
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 Officer rNAL (, l(1-bVu Date: 8/21/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le al ora ark sufficiency:
ocu Igoe y:
Office of the County Attorney ✓ Date: 8/21/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd yorangecou 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:
(Communities In Schools of Orange County)
Orange County Outside Agency Performance Agreement Page 7 of 7
Rev. 6115