HomeMy WebLinkAboutR 2016-583-E Finance - Farmer Foodshare, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:AA509FB2-AOC3-456C-9F67-9DDC0879C15B
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: 902 North Mangum Street City Durham State: NC Zip: 27701 Department: Finance &
Administrative Services Amount: 2500 Purpose: Outside Agencies Funding Budget Code(s): 10695050-720170
Vendor# 838481 (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
DocuSigned by:
This agreement is approved as to technical form an t7D4E5181ACC1409 e
Department Director's Signature ... 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 insur Awa yspecifications,and requirements:
Qusa. COV'lnd 6
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
gocuS" ned by:
This instrument has been pre-audited in the manner rr7D4E5181ACC1409 eed y teal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ... Date:
Legal Services
This agreement is approved as to legal form and suff'7�Ei ed by:
Office of the County Attorney 4�_ Da te:
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:
(Farmer Foodshare)
Orange County Outside Agency Performance Agreement
Rev. 8116