HomeMy WebLinkAboutR 2016-587-E Finance - Chapel Hill-Carrboro Meals on Wheels - Outside Agency Performance Agreement DocuSign Envelope ID:24839407-DB2D-47A2-B399-3BEA061662C1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Chapel Hill-Canboro Meals on Wheels Party/Vendor Contact Person: Stacey Yusko Contact
Phone: 919-942-2948 Party/Vendor Address: 1712 Willow Drive City Chapel Hill State: NC Zip: 27514
Department: Finance & Administrative Services Amount: 15000 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-719053 Vendor# 800080 (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
®Nor-1 Agenda Date: 6/21/16
This agreement is approved as to technical to 7O)Eoiw e A tyr
Department Director's Signature Date:
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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 nwM&I tapecifications,and requirements:
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Office of the Risk Management Officer 26 8004M Date:
Financial Services
This instrument has been pre-audited in the manner equMseO'Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 4 81ACC14 Date:
Legal Services
This agreement is approved as to legal form and su C1�guSignea by:
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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:
(Chapel Hill-Carrboro Meals on Wheels)
Orange County Outside Agency Performance Agreement
Rev. 8116