HomeMy WebLinkAboutR 2016-673-E Finance - Inter-Faith Council for Social Service - Outside Agency Performance Agreement DocuSign Envelope ID:82431AC9-7F03-4084-815E-A2EFB34C92BB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Inter-Faith Council for Social Service Party/Vendor Contact Person: Michael Reinke Contact
Phone: 919-929-6380 Party/Vendor Address: 110 West Main Street City Carrboro State: NC Zip: 27510
Department: Finance & Administrative Services Amount: 50000 Purpose: Outside Agencies Funding Budget
Code(s): 10495050-710022 Vendor# 800007 (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 eined by:
Department Director's Signature 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 1"t specifications,and requirements:
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Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner Wedt5elhlt Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and suffclel ` igned 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 @ 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:
(Inter-Faith Council for Social Service)
Orange County Outside Agency Performance Agreement
Rev. 8116