HomeMy WebLinkAboutR 2016-578 Finance - Orange County Rape Crisis Center - Outside Agency Performance Agreement ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Rave Crisis Center Party/Vendor Contact Person: Irene Dwinnell Contact
Phone:919-9684647 Party/Vendor Address:1506 E.Franklin St.Suite 302 City Chanel Hill State:NC Zip:27515
Department: Finance & Administrative Services Amount: 35000 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-710009 Vendor#800015 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑Non
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 ntent:
Department Director's Signature Date: 6
Information Technologies
(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 insurance standards,specifications,and requirements:
Office of the Risk Management Officer l/ ice. N/ Date: l op Ik
Fin cial Se ces
This instrument has been pre-audited in the m er u ed b the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 221 I
Leeal Services
This agreement is approved as to legal f a su .e
Office of the County Attorney Date: O `P
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydaoranizecountync.gov
The following signature block is for hard copies o not uired for Docusign contracts:
Office of the Clerk to the Board Date: Z l ,*
(Orange 3County Rape Crisis Center)
Orange County Outside Agency Performance Agreement
Rev. 8116