HomeMy WebLinkAboutR 2015-506-E Finance - Habitat for Humanity, Orange County, NC, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: F66BAD96-D545-46F4-B22E-5CBE1864555A
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Habitat for Humanity. Orange County, NC, Inc. Party/Vendor Contact Person: Susan Levy
Contact Phone: (919)932-7077 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State:
NC Zip: 27514 Department: Finance & Adm. Srv. Amount:$ 20,000 Purpose: Outside Agency Performance
Agreement Budget Code(s): 10495050 710023 Vendor 4 800020 (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 °"¢ eM ontent:
I q,�'(, pm 9/15/2015
Department Director's Signature 232DFFC2CFA847B... Date:
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 9eacffwedAnndards,specifications,and requirements:
C7.So, (6vvt,e b 9/15/2015
Office of the Risk Management Officer nc�si7�AnnaaR Date:
Financial Services
This instrument has been pre-audited i Dx1q squired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer VU Date: 9/15/2015
Legal Services
This agreement is approved as to le iand W.fficiency:
[ 4"Jj Office of the County Attorneys Date: 9/17/2015
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:
(Habitat for Humanity, Orange County,NC Inc)
Orange County Outside Agency Performance Agreement Page 7 of 7
Rev. 6115