HomeMy WebLinkAboutR 2016-579-E Finance - Bridge II Sports - Outside Agency Performance Agreement DocuSign Envelope ID: 1007B77C-A009-4AA3-964B-3B03B9585341
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Bridge II Sports Party/Vendor Contact Person: Ashley Thomas Contact Phone: 866-880-2742
Party/Vendor Address: 4122 Bennett Memorial Rd, Suite 105 City Durham State: NC Zip: 27705 Department:
Finance &Administrative Services Amount: 5250 Purpose: Outside Agencies Funding Budget Code(s): 10495050-
719056 Vendor # 62735 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[] No❑
Agenda Date: 6/21/16
ocuSi ne by:
This agreement is approved as to technical fo anTc en
Department Director's Signature 7DZ5181ACC1409... Date:
Information Technolo0es
(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 insuran 9ndm*V specifications,and requirements:
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Office of the Risk Management Officer ,F rFg�7�Rnnagg Date:
Financial Services
This instrument has been pre-audited in the manner e,Agi"&"t Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ��n Date:
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Legal Services
This agreement is approved as to legal forth and suffi ' usignea by:
Office of the County Attorney I 4� 4,— Date:
403 CB83D4CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
(Bridge II Sports)
Orange County Outside Agency Performance Agreement
Rev. 8116