HomeMy WebLinkAboutR 2016-598-E Finance - Orange County Literacy Council - Outside Agency Performance Agreement DocuSign Envelope ID:99OF6965-575D-4EOD-A54F-9DAD6D65198E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone:
919-914-6153 Party/Vendor Address: 200 N Greensboro Street, Suite C-2 City Carrboro State: NC Zip: 27510
Department: Finance & Administrative Services Amount: 15000 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-710024 Vendor# 800013 (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 form tUpAgnta by:
Department Director's Signature C � 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 add,"specifications,and requirements:
gusx COV'lnd 6
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner Wftff'ig9g�t'he Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 7 � n Date:
....... rm...
Legal Services
This agreement is approved as to legal form and suf 771gned 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:
(Orange County Literacy Council)
Orange County Outside Agency Performance Agreement
Rev. 8116