HomeMy WebLinkAboutR 2015-516-E Finance - Farmer Foodshare - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: 11C6ECAC-8269-4F32-9237-C20AF956210B
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919.360.6358
Party/Vendor Address: 105 Hood Street,45 City Durham State: NC Zip: 27701 Department: Finance &Adm. Srv.
Amount:$ 5,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10695050 720170 Vendor 4
838481 (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 dr �nyi content:
�AU� � VU Department Director's Signature Date: 9/17/2015
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 in� ��e""��n''1dl1ards,specifications,and requirements:
Office of the Risk Management Officer El Us& 66vvt,e 6 Date:9/17/2015
7FDCF917680)498...
Financial Services
This instrument has been pre-audited in the manner re uired by the Local Government Budget and Fiscal Control Act:
DocuSigned 6yq.
Office of the Chief Financial Officer PXIAL bVu Date: 9/17/2015
-C 232DFFC2CFA847B...
Legal Services
This agreement is approved as to le al orr an sufficiency:
ocu Igoe y:
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:
(Farmer Foodshare)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115