HomeMy WebLinkAboutR 2017-482-E Finance - Habitat for Humanity, Orange County, NC - Outside Agency Performance Agreement DocuSign Envelope ID: B67A2C26-3304-4095-BB1C-73A2BC4A569A
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Habitat for Humanity, Orange County, NC, Inc. Party/Vendor Contact Person: Susan Levy
Contact Phone: (919)932-7077 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State:
NC Zip: 27514 Department: Finance & Administrative Services Amount: 37500 Purpose: FY 2017-18 Outside
Agency Performance Agreement Budget Code(s): 10495050710023 Vendor # 800020 (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 YesZ No Agenda Date: 6/20/2017
cuSi ned b
This agreement is approved as to technical form
Do and co 'tent:
stst ld6,1L 8/31/2017
Department Director's Signature 7D4E5191ACC1409_. 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 ins i a 1 vds,specifications,and requirements:
Riskk. Cart e tt0 8/31/2017
Office of the Risk Management Officer ,�nr�o, gggggg Date:
Financial Services
b :
This instrument has been pre audited in the mane r regmrea ! ocal Government Budget and Fiscal Control Act:
or„N 8/31/2017
Office of the Chief Financial Officer 7D4E5191ACC1409. Date:
Legal Services
Do Si ned
This agreement is approved as to legal form n suic�ie�c
VIAL I t. 1-MO 9/5/2017
Office of the County Attorney o79A4D525COF4FB_. 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:
(Habitat for Humanity, Orange County,NC,Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17