HomeMy WebLinkAboutR 2016-581-E Finance - Behavioral Insights, Inc.- Outside Agency Performance Agreement DocuSign Envelope ID:7D246B6F-37D5-48F7-99D7-98C230BA1C70
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Behavioral Insights, Inc. Party/Vendor Contact Person: Joyce Kuhn Contact Phone: 919-428-
0710 Party/Vendor Address: 100 North Churton Street City Hillsborough State: NC Zip: 27278 Department:
Finance &Administrative Services Amount: 4000 Purpose: Outside Agencies Funding Budget Code(s): - Vendor#
(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
This agreement is approved as to technical form n d M!d by:
Department Director's Signature L 7 FS � ng Date:
na �g�nrr�anq
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 insur Sta�r€kwdPyspecifications,and requirements:
Qusa. COV'lnd 6
Office of the Risk Management Officer 7RQCF917R8Q049A Date:
Financial Services
This instrument has been pre-audited in the manner�rcquirc "°y tj 0 Lo al Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 7o4ES1a1 yCC1409... Date:
Legal Services
This agreement is approved as to legal form and s iciency-. by:
� 4,-
Office of the County Attorney 4oascBSSo4cA4as Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�,oran eg countvnc og_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:
(Behavioral Insights,Inc)
Orange County Outside Agency Performance Agreement
Rev. 8116