HomeMy WebLinkAboutR 2016-656-E Finance - OC Partnership for Young Children - Outside Agency Performance Agreement DocuSign Envelope ID: DD554565-B9BA-4128-863D-805D6BC56619
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Partnership for Young Children Party/Vendor Contact Person: Robin Pulver
Contact Phone: 919-967-9091 Party/Vendor Address: 120 Providence Rd, Suite 101 City Chapel Hill State:NC Zip:
27514 Department: Finance &Administrative Services Amount: 3500 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-719050 Vendor# 62736 (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 forma _3 1 W?Wed by:
(IN,M A _
Department Director's Signature 7DaE5181ACC1409... 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 g4md wdsy-specifications,and requirements:
Qusa, CV'lnd O 6
Office of the Risk Management Officer 71MCE91768004gg Date:
Financial Services
This instrument has been pre-audited in the manner r qui T i�yLocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � n Date:
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Legal Services
This agreement is approved as to legal form and suf clelligned by:
Office of the County Attorney nssnaftsn papa 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:
(Orange County Partnership for Young Children)
Orange County Outside Agency Performance Agreement
Rev. 8116