HomeMy WebLinkAboutR 2016-584-E Finance - Piedmont Wildlife Center - Outside Agency Performance Agreement DocuSign Envelope ID: B55679E1-82FB-4A06-BBCF-6BC218E4CADA
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Piedmont Wildlife Center Party/Vendor Contact Person: Gail Abrams Contact Phone: 919-
489-0900 Party/Vendor Address: 364 Leigh Farm Rd. City Durham State: NC Zip: 27707 Department: Finance &
Administrative Services Amount: 3500 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719032
Vendor# 51232 (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 forma 7B11lGl�ed by:
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Department Director's Signature 481A14 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 cAaa dsy:specifications,and requirements:
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Office of the Risk Management Officer Date:
4FBGFi)-6800498...
Financial Services
This instrument has been pre-audited in the manner Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
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Legal Services
This agreement is approved as to legal form and su ys geed by:
Office of the County Attorney ff 4 1`� Date:
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:
(Piedmont Wildlife Center)
Orange County Outside Agency Performance Agreement
Rev. 8116