HomeMy WebLinkAboutR 2016-599-E Finance - OCIM Meals on Wheels - Outside Agency Performance Agreement DocuSign Envelope ID:40C9OB7F-D85F-4E1C-A5CA-4BC263526A8E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange Congregations in Mission-Meals on Wheels Party/Vendor Contact Person: Rev. Sharon
S.Freeland Contact Phone: 919-732-6194 x10 Party/Vendor Address: 300 Millstone Drive City Hillsborough State:
NC Zip: 27278 Department: Finance & Administrative Services Amount: 17000 Purpose: Outside Agencies
Funding Budget Code(s): 10495050-710031 Vendor # 800010 (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 to nii"tby:
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 insur, ikws dawal @x:specifications,and requirements:
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Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manne7 ;ft 8tfeyo the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and suf cie$i�� ed 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 Congregations in Mission-Meals on Wheels)
Orange County Outside Agency Performance Agreement
Rev. 8116