HomeMy WebLinkAboutR 2017-473-E DSS - The Exchange Club Center for the Prevention of Child Abuse in NC - Outside Agency Performance Agreement DocuSign Envelope ID:87560079-2786-4376-A189-DC48D9482BE7 1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: The Exchange Club Center for the Prevention of Child Abuse in North Carolina Party/Vendor
Contact Person: Sarah Black. Contact Phone: 336-748-9028 Party/Vendor Address: 200 N. Main Street City
Graham State:NC Zip: 27253 Department: Social Services Amount:,$9,638 Purpose: Outside Agency Performance
Agreement Budget Code(s): 10400120-630000 Vendor # 62677 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No Contract Type:(Check one)New El Renewal El Amendment ❑ Effective Date July 1,
2017 Approved by Board Yes No❑ Agenda Date:June 20,2017
This agreement is approved as to tee cRPtletl content:
N Sf01&, 9/1/2017
Department Director's Signature D 6AB3SL Date:DAP ri
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 sufficiency 4ns'tfiiamtbwtandards,specifications,and requirements:
A�lsa Cart/al-to 8/30/2017
Office of the Risk Management Officer 7�nr�o,7�gggggg Date:
Financial Services
This instrument has been pre-audited i t e r►iaii?ier required by the Local Government Budget and Fiscal Control Act:
a Avi..`idia,vg. 9/1/2017
Office of the Chief Financial Officer 7D4F51H1AC.C1409 Date:
Legal Services
by
This agreement is approved as t CDpcliSigned a ��f eS cy:
GD 9/5/2017
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 a,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:
The Exchange Club Center for the Prevention of Child Abuse in North Carolina
Orange County Outside Agency Performance Agreement Page 7 of 7
Rev. 7/17