HomeMy WebLinkAboutR 2016-532-E DSS - OC Schools - MOU for teen parent social worker of case management services DocuSign Envelope ID:43AE855E-F337-42FD-9D72-E26B8322A5F5
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Qra
ng!,- ount Schools PartyiVendor Contact Person: Sherita E. Cobb Contact Phone: 919-
245-4109 Party/Vendor Address: 1.914 New Hope Church Rd City Chapel Hill State: NC Zip: 27514
Department: DSS Amount: — Purpose: Provide a teen parent social worker to do case management services for
pre ant and parenting teens in Vendor 4
_gjnL_ Budget Code(s): — (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New F-1 Renewal F�
Amendment ❑ Effective Date 07/01/16 Approved by Board YesEl NoF Agenda Date:
This agreement is approved as to technical form ar-,, tiVed by:
Department Director's Signature N4� 666vu Date.
84 5
Information Technologies,
(Applicable only to hardwarelsqfi4,are 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 insu76"o" and requirements:
a�Office of Risk Management Date: 8/31/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer -N 0..&. Date: 9/19/2016
De 409
Legal Services
This agreement is approved as to legal form and stiff Signed by:
Office of the County Attorney Date: 9/20/2016
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 6/16