HomeMy WebLinkAboutR 2016-617-E Finance - United Way of the Greater Triangle - Outside Agency Performance Agreement DocuSign Envelope ID:9859FC61D-3EEB-4CM-9891-BE11A53D9413
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: United Way of the Greater Triangle Party/Vendor Contact Person: Mack Koonce Contact
Phone: 919-463-5010 Party/Vendor Address: 2400 Perimeter Park Drive, Suite 150 City Morrisville State: NC Zip:
27560 Department: Finance&Administrative Services Amount: 16030 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-720118 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
®Nor-1 Agenda Date: 6/21/16
This agreement is approved as to technical form an tlejW.igned 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 rgtw*dafd":specifications,and requirements:
Qusa. COV'lnd 6
Office of the Risk Management Officer 71MCE91768004gg Date:
Financial Services
This instrument has been pre-audited in the manner qu�dl :Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
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Legal Services
This agreement is approved as to legal form and su !?.igned by:
Office of the County Attorney ;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:
(United Way of the Greater Triangle)
Orange County Outside Agency Performance Agreement
Rev. 8116