HomeMy WebLinkAboutR 2017-479-E Finance - Farmer Foodshare - Outside Agency Performance Agreement DocuSign Envelope ID:8A1AB1 BF-ACDB-42A1-A3DE-9E9549E569B4
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919-701-2543
Party/Vendor Address: 902 North Mangum Street City Durham State: NC Zip: 27701 Department: Finance &
Administrative Services Amount: 6250 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget
Code(s): 10695050720170 Vendor# 838481 (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 f rm` iiMl fit:
( 00,4`/dia°'L 8/31/2017
Department Director's Signature 7n4F5181ACC14ne 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 os4 telizects;specifications,and requirements:
Riskk. Cana,/lo 9/5/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the mann reg?r Local Government Budget and Fiscal Control Act:
',vg. 8/31/2017
Office of the Chief Financial Officer 7D4E5181ACC1409. Date:
Legal Services
This agreement is approved as to legal form an suft 11"48 by:
QU,UL t. 1 SCb 9/5/2017
Office of the County Attorney 07_2.4 525C0E9.E8__ 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:
(Farmer Foodshare)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17