HomeMy WebLinkAboutR 2016-596-E Finance - El Centro Hispano, Inc.. - Outside Agency Performance Agreement DocuSign Envelope ID:6BDD2794-5EC0-4DFF-B4F6-F496A1C3AB13
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: El Centro Hispano, Inc. Party/Vendor Contact Person: Pilar Rocha-Goldberg Contact Phone:
919-687-4635, x43 Party/Vendor Address: 2000 Chapel Hill Road, Suite 26A City Durham State: NC Zip: 27707
Department: Finance & Administrative Services Amount: 28810 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-719058 Vendor# 801399 (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 fo andwll lv:by:
Department Director's Signature 481A(-.C142olL 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 insuran � lsd§pecifications,and requirements:
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Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner r quiQ@ 'IVYLocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer rmn Date:
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Legal Services
This agreement is approved as to legal form and su @R�0?!9nea 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:
(El Centro Hispano,Inc)
Orange County Outside Agency Performance Agreement
Rev. 8116