HomeMy WebLinkAboutR 2015-509-E Finance - El Centro Hispano, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:9B184EC2-DDAC-4169-919A-66A84379E917
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: El Centro Hispano, Inc. Party/Vendor Contact Person: Pilar Rocha-Goldberg Contact Phone:
919-687-4635,x43 Party/Vendor Address: 201 W.Weaver Street City Carrboro State:NC Zip:27510 Department:
Finance & Adm. Srv. Amount:$ 20,000 Purpose: Outside Agency Performance Agreement Budget Code(s):
10495050 719058 Vendor 4 801399 (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 of9e content:
Department Director's Signature �A nr 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: 111L
Office of the Risk Management Officer allStU (hVV,&b Date: 9/15/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the pagneerdrbyquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer m Date: 9/16/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to 11e 1 fy rgmd d sufficiency:
Office of the County Attorney
L 9/17/2015
✓ o Date:
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:
(El Centro Hispano,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115