HomeMy WebLinkAboutR 2016-634-E Finance - Historic Hillsborough Commission - Outside Agency Performance Agreement DocuSign Envelope ID:F03CBAC2-B7E2-4CDB-AFA6-CB52A071BA00
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Historic Hillsborough Commission Party/Vendor Contact Person: Kate Faherty Contact
Phone: 919-732-7451 Party/Vendor Address: 319 N. Churton Street City Hillsborough State: NC Zip: 27278
Department:Finance&Administrative Services Amount: 8857 Purpose: Outside Agencies Funding Budget Code(s):
10519550-710005 Vendor# 19187 (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 and c X4eftusigned by:
Department Director's Signature Date:
Information Technologies
(Applicahle only to hardwarelsoftware 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 ins ur �a §> ,specifications,and requirements:
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Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner re 7 @0090hoh-oval Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 0
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ffi Date:
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Legal Services
This agreement is approved as to legal form and .. d by:
Office of the County Attorney � Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&orangecountync.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:
(Historic Hillsborough Commission)
Orange County Outside Agency Performance Agreement
Rev. 8116