HomeMy WebLinkAboutR 2016-606-E Finance - OC Disability Awareness Council - Outside Agency Performance Agreement DocuSign Envelope ID: ED6C5D54-7108-4169-9541-C2FDA3EC8CA6
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: OC Disability Awareness Council Party/Vendor Contact Person: Timothy Miles Contact
Phone: 919-245-4337 Party/Vendor Address: 503 W. Franklin Street Room 113 City Chapel Hill State: NC Zip:
27516 Department: Finance &Administrative Services Amount: 7000 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-710032 Vendor# 800037 (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 forma cftlillynea by:
Department Director's Signature � Q
p g R1 ACC1409
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 away opecifications,and requirements:
s a. COV'lnd 6
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner r quW"WyLocal 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 suffi ' {i®cusignea by:
Office of the County Attorney 4�,q 4,_ 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:
(OC Disability Awareness Council)
Orange County Outside Agency Performance Agreement
Rev. 8116