HomeMy WebLinkAboutR 2016-631-E Finance - Compass Center for Women and Families - Outside Agency Performance Agreement DocuSign Envelope ID: E9DE81F9-0070-4074-8F70-93DABC24ACE1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Cordelia Heaney
Contact Phone: 919-968-4610 Party/Vendor Address: 210 Henderson St.,PO Box 1057 City Chapel Hill State: NC
Zip: 27514 Department: Finance & Administrative Services Amount: 64500 Purpose: Outside Agencies Funding
Budget Code(s): 10495050-719063 Vendor# 800019 (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 a Oigned by:
Department Director's Signature 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 AndaMgy gpecifications,and requirements:
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Office of the Risk Management Officer ,F��Fg�zsRnnag� Date:
Financial Services
This instrument has been pre-audited in the manner uQ?ee%3y1ft Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and suff -6ocusigned 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:
(Compass Center for Women and Families)
Orange County Outside Agency Performance Agreement
Rev. 8116