HomeMy WebLinkAboutR 2015-510-E Finance - Orange County Literacy Council - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID:OCB447B6-557A-44BE-A43B-987EO3ADAE3A
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone:
919-914-6153 Party/Vendor Address: 200 N Greensboro Street, Suite C-2 City Carrboro State: NC Zip: 27510
Department: Finance & Adm. Srv. Amount:$ 12,000 Purpose: Outside Agency Performance Agreement Budget
Code(s): 10495050 710024 Vendor 4 800013 (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 technical form and content:
DocuSigned by:
Department Director's Signature
�A 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"" b D by:
''1L
Office of the Risk Management OfficerPCs& rbvvt,e ate: 9/15/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSign__ed by:
Office of the Chief Financial Officer I—NAL +(��bVu Date: 9/16/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal for gm danbd sufficiency:
Office of the County Attorney F�� 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:
(Orange County Literacy Council)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115