HomeMy WebLinkAboutR 2017-151-E Health - Chapel Hill - Carrboro Human Rights Center dba Refugee Community Partnership - Outside Agency Performance Agreement DocuSign Envelope ID:3C5A2744-D635-47D4-8E91-68273BC0AA70
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Chapel Hill Carrboro Human Rights Center d.b.a. Refugee Community Partnership
Party/Vendor Contact Person: Madison Hayes Contact Phone: 919-590-5910 Party/Vendor Address: PO Box 461
City Carrboro State: NC Zip: 27510 Department: Health Amount: $14,120 Purpose: Refugee support services
Budget Code(s): Social Justice Funds Vendor# 800679 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑
No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 4-4-17 Approved by
Board Yes No Agenda Date: 4-4-17
This agreement is approved as to techn tilidtd content:
'on t,I t 4/26/2017
Department Director's Signature 5145A2CD945G OF. Date:
Information Technologies
(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 sufficienc . sllfgtt :standards,specifications,and requirements:
LtiS1 rbYlAVtO 4/26/2017
Office of the Risk Management Office 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited i t eDrna iffier itquired by the Local Government Budget and Fiscal Control Act:
� ` rt '`°` 5/4/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
D c Si nedb
This agreement is approved as t le aP fo and suffciency:
tt '1' 1' �bSCb 5/5/2017
Office of the County Attorney 079A4D525C0F4FB... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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:
Refugee Community Partnership
Orange County Outside Agency Performance Agreement—Social Justice Funds Page 6 of 7
April 2017