HomeMy WebLinkAboutR 2016-600-E Finance - Ligo Dojo of Budo Karate - Outside Agency Performance Agreement DocuSign Envelope ID:913F749B-B9E8-4103-AF9D-A4296D01069E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone: 919923-
6915 Party/Vendor Address: 2518 B Millwood Court City Chapel Hill State: NC Zip: 27514 Department: Finance
& Administrative Services Amount: 2000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-719068
Vendor# 60958 (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 an con clifigned by:
Department Director's Signature Z5181ACC1409 2osz 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 Dspohd ,s ecifications,and requirements:
77FDCF9176800498 USX C6 6
Office of the Risk Management Officer ... Date:
Financial Services
This instrument has been pre-audited in the manner re uire°DT e Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 7D4ES1a1ACC1409... Date:
Legal Services
This agreement is approved as to legal form and su @ft�e?tgned 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:
(Ligo Dojo of Budo Karate)
Orange County Outside Agency Performance Agreement
Rev. 8116