HomeMy WebLinkAboutR 2015-508-E Finance - Community Empowerment Fund - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:8B670D51-A7FD-4694-8E94-963553021305
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Community Empowerment Fund Party/Vendor Contact Person: Maggie West Contact Phone:
919-270-5730 Party/Vendor Address: 108 W. Rosemary Street City Chapel Hill State:NC Zip: 27516 Department:
Finance & Adm. Srv. Amount:$ 7,500 Purpose: Outside Agency Performance Agreement Budget Code(s):
10495050 719064 Vendor 4 61695 (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 techni�p1 f rm pnd content:
�ocuignedby:
Department Director's Signature
PA blti Date: 9/16/2015
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
�,Sa (,bvvte& Date: 9/15/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th jdtVquired by the Local Government Budget and Fiscal Control Act:
����(�� 9/16/2015
Office of the Chief Financial Officer pm/,L �,"-"'D"nbvu Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to leggy sufficiency:
Office of the County Attorney Date: 9/17/2015
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:
(Community Empowerment Fund)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115