HomeMy WebLinkAboutR 2016-666-E Finance - Rogers-Eubanks Neighborhood Association - Outside Agency Performance Agreement DocuSign Envelope ID: EB541A3B-1E01-49AB-9E09-7987ECAEC1C4
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Rogers-Eubanks Neighborhood Association Party/Vendor Contact Person: Robert Campbell
Contact Phone: 919-933-6210 Party/Vendor Address: 101 Edgar Street City Chapel Hill State: NC Zip: 27516
Department: Finance & Administrative Services Amount: 20000 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-719061 Vendor# 62054 (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 form ELe64W by.
Department Director's Signature Date:11/9/2016
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 agvdw 2 )specifications,and requirements:
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Office of the Risk Management Officer ,F rFg�7�Rnnagg Date:
Financial Services
This instrument has been pre-audited in the manner Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ginrrm
Date: 11/9/2016
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Legal Services
This agreement is approved as to legal form and su ici�14E�`. ed 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:
(Rogers-Eubanks Neighborhood Association)
Orange County Outside Agency Performance Agreement
Rev. 8116