HomeMy WebLinkAboutR 2016-672-E Finance - Triangle Bikeworks - Outside Agency Performance Agreement DocuSign Envelope ID: D9639255-8147-4A2F-A760-941BDE078E48
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Bikeworks Party/Vendor Contact Person: Kevin Hicks Contact Phone: 919-408-7513
Party/Vendor Address: 115 West Main Street City Carrboro State: NC Zip: 27510 Department: Finance &
Administrative Services Amount: 1000 Purpose: Outside Agencies Funding Budget Code(s): 10695050-720271
Vendor# (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 fo anc4�8�ilefftby:
Department Director's Signature Date: 11/9/2016
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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:
QUSA r,Orv�c X16 11/28/2016
Office of the Risk Management Officer 71MCE91268004M Date:
Financial Services
This instrument has been pre-audited in the manner r ..Ted"yeti&:Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � Date:11/9/2016
�B&Er1S40 CS 1409...
Legal Services
This agreement is approved as to legal form and suf t—C-14035CE8304CMA9 7404,—cyse�by.
11/28/2016
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 @ Dollod(cr�.oran eg countync og_v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
(Triangle Bikeworks)
Orange County Outside Agency Performance Agreement
Rev. 8116