HomeMy WebLinkAboutR 2017-477-E Finance - Community Empowerment Fund - Outside Agency Performance Agreement DocuSign Envelope ID: 5D25D6E0-7166-4244-AEA3-02E6A45FD852
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Community Empowerment Fund Party/Vendor Contact Person: Maggie West Contact Phone:
919-200-0233 Party/Vendor Address: 208 N. Columbia Street, Suite 100 City Chapel Hill State: NC Zip: 27514
Department:Finance &Administrative Services Amount: 13750 Purpose: FY 2017-18 Outside Agency Performance
Agreement Budget Code(s): 10495050719064 Vendor # 61695 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017
This agreement is approved as to technical orni `en nt:
00,4`/dia m. 8/31/2017
Department Director's Signature 7D4E5181ACC1409_, 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 sufficiency of insur Dsa KU' specifications,and requirements:
QiSa c60 9/5/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
DocuSi d by:
This instrument has been pre-audited in the ma er requu�en Q�@�the Local Government Budget and Fiscal Control Act:
eqt-f6A "ox.4t i'"°. 8/31/2017
Office of the Chief Financial Officer 7D4E5181ACC1409. Date:
Legal Services
cuSi ned by:
This agreement is approved as to legal form an s iciec
ate, / A 1-MO 9/5/2017
Office of the County Attorney o79A4D525C0F4Fe_. 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:
(Community Empowerment Fund)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17