HomeMy WebLinkAboutR 2016-640-E DSS - Workforce Development Board for extension of WIOA Youth Program DocuSign Envelope ID:B95B2B37-A96F-476E-BOA3-471 C41F51313771D
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Departmen
Party/Vendor Name: Workforce DeveloppLizin Board Party/Vendor Contact Person: James Bain Contact Phone:
336-629-5141 Party/Vendor Address: P.O. Box 1883 City Asheboro State: NC Zip: 27204 Department: DSS
Amount: Purpose: Extension of WIOA Youth Program Budget Code(s): 10403020 Vendor (N/A
if new vendor) Vendor is a BOCC consultant? Yes r-I No❑ Contract Type: (Check one)New 0 Renewal ❑
Amendment 0 Effective Date 07/01/16 Approved by Board Yes❑No❑ Agenda Date:
m�by:
This agreement is approved.as to technical form an eolybgg 11/2/2016
Department Director's Signature A83B455 Date:
Information Technologies
(Applicable only to harcAvarelsoftware 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 in wwso4uw:14rds, specifications, and requirements:
Office of Risk Management_ Mso, (hnuN Date: 11/2/2016
FBeF9+768004-9&.----------
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer E
L Date:
11/8/2016
- .4E&1-84AGGI-409�............
Legal Services
This agreement is approved as to legal form ands " &ri 6§ned by:
Office of the County Attorney Date: 11/10/2016
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board
Revised 6/16