HomeMy WebLinkAboutR 2017-270-E Health - Town of Chapel Hill & CHCC BOE - MOA for summer school program DocuSign Envelope ID:C096D0C4-21D1-4556-9576-77FCE44884E2
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Jim Orr Contact Phone: (919) 968-2785
Party/Vendor Address: 405 Martin Luther King Jr. Blvd. City Chapel Hill State: NC Zip: 27514 Department:
Health Amount: $58,040 Purpose: Summer school program Budget Code(s): 10412020-630000-71453 Vendor#
64 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX Contract Type: (Check one) New X
Renewal❑ Amendment ❑ Effective Date 6-19-17 Approved by Board Yes No Agenda Date:
This agreement is approved as to texhrri @e luf mid content:
Vore (ALU�Ut 7/5/2017
Department Director's Signature\---��a�azcDSaecaoF.. 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 f E:1�t 'y"bsfinsurance standards,specifications, and requirements:
NSA. Cort&c,ltb 7/5/2017
Office of Risk Management 7FnrF917 n4oR... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: , ---DocuSigned by:
rl A" '`°` 7/6/2017
Office of the Chief Financial Officer .......,74,4,5„,,,,,,,_,,, Date:
Legal Services
This agreement is approved as t P`f lilfnYi, Y�id.-.sufficiency:
A. ( tl' 1 S(6 7/6/2017
Office of the County Attorney o�gnnoszscsraFe_. Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 2/17