HomeMy WebLinkAboutR 2017-488-E Finance - Movement of Youth Inc. - Outside Agency Performance Agreement DocuSign Envelope ID: E546BA93-2CAA-4121-B91A-3F2107563B4D
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Movement of Youth Inc. Party/Vendor Contact Person: Atrayus Goode Contact Phone: 1-800-
956-3820 Party/Vendor Address: 406 Blackwell Street B030 City Durham State: NC Zip: 27701 Department:
Finance & Administrative Services Amount: 20213 Purpose: FY 2017-18 Outside Agency Performance Agreement
Budget Code(s): 10495050719074 Vendor# 800818 (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
This agreement is approved as to tec a P8fIngdi bEontent:
0 d 9/1/2017
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 i Lueigraclidards,specifications,and requirements:
QiSA. Cart e tt0 9/5/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the ma er fe£ t?8til l the Local Government Budget and Fiscal Control Act:
( f. '60,1.41 i'"m. 9/1/2017
Office of the Chief Financial Officer 7D4E5181ACC1409. Date:
Legal Services
DocuSigned by:
This agreement is approved as to legal form ang.sat/UAL 'K AM��Aft 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 @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:
(Movement of Youth Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17