HomeMy WebLinkAboutR 2016-642-E Finance - Marian Cheek Jackson Center for Saving and Making History - Outside Agency Performance Agreement DocuSign Envelope ID:C8D98134-3597-4323-98FA-COCA282OB225
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Marian Cheek Jackson Center for Saving and Malting History Party/Vendor Contact Person:
Della Pollock Contact Phone: 919-960-1670 Party/Vendor Address: 512 W. Rosemary Street City Chapel Hill
State: NC Zip: 27516 Department: Finance &Administrative Services Amount: 10000 Purpose: Outside Agencies
Fundinc Budget Code(s): 10495050-719065 Vendor # 838482 (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 ti f!igned by:
Department Director's Signature C?q 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 insura AwWwr+�e)specifications, and requirements:
a�iSa Cblb
Office of the Risk Management Officer SO_PQ17ARnna9s Date:
Financial Services
This instrument has been pre-audited in the manner '"q*Local Government Budget and Fiscal Control Act:
Cq
Office of the Chief Financial Officer �,o ,onam Date:
Legal Services
This agreement is approved as to legal form and su _ C%3Sjgned 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 @ Dolloydgoran eg countync. oovv
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
(Marian Cheek Jackson Center for Saving and Making History)
Orange County Outside Agency Performance Agreement
Rev. 8116