HomeMy WebLinkAboutR 2016-585-E Finance - KidSCope: Chapel Hill Training Outreach Project, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID: 373C6CF5-BA35-4F9B-A420-087EBFE4784E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: KidSCope: Chapel Hill Training Outreach Project, Inc. Party/Vendor Contact Person: Mike
Mathers Contact Phone: 919-644-6590 x 4810 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill
State: NC Zip: 27514 Department: Finance &Administrative Services Amount: 75000 Purpose: Outside Agencies
Funding Budget Code(s): 10495050-710015 Vendor # 800060 (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 RA9pft1919a by:
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 IMa�Wrdgp pecifications,and requirements:
Q�Sa COV lnef i
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the manne7 Ana atfetlqb10 the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:"�a ...
Legal Services
This agreement is approved as to legal form and suf lcleignea by:
Office of the County Attorney 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:
(KidSCope: Chapel Hill Training Outreach Project,Inc)
Orange County Outside Agency Performance Agreement
Rev. 8116