HomeMy WebLinkAboutR 2016-613-E Finance - Volunteers for Youth - Outside Agency Performance Agreement DocuSign Envelope ID: 3CD68914-055B-4274-9AF2-A50FD766FB76
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Volunteers for Youth Party/Vendor Contact Person: Susan Worley Contact Phone: 919-967-
4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro State:NC Zip: 27510 Department: Finance
&Administrative Services Amount: 7500 Purpose: Outside Agencies Funding Budget Code(s): - Vendor# (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 ) Q ggned by:
Department Director's Signature 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 specifications,and requirements:
QU,Sa COV'lnd 6
Office of the Risk Management Officer ,F �Fg„5���49� Date:
Financial Services
This instrument has been pre-audited in the manner r 'fL&0j9nt MyLocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
�B&Er1S40 CS 1409...
Legal Services
This agreement is approved as to legal form and su 7 ,,,g ed by:
Office of the County Attorne y . . Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollod(cr�.oran eg countyac.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:
(Volunteers for Youth)
Orange County Outside Agency Performance Agreement
Rev. 8/16