HomeMy WebLinkAboutR 2017-496-E Finance - Pathways to Change Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:60192208-BFA3-4E38-9277-B2390FDDC97D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Pathways to Change Inc. Party/Vendor Contact Person: Kathryn Bauman Contact Phone:919-
391-0365 Party/Vendor Address: 960 Corporate Drive City Hillsborough State: NC Zip: 27278 Department:
Finance & Administrative Services Amount: 9400 Purpose: FY 2017-18 Outside Agency Performance Agreement
Budget Code(s): 10495050720112 Vendor# 800419 (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 technical form n EMIR by:
4.6 2ofL 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 insu �� -s�.,s ecifications,and requirements:
AListk. r,6 0 9/7/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the manner regfiiIg{I Pie Local Government Budget and Fiscal Control Act:
e 00,4 di 8/31/2017
Office of the Chief Financial Officer 7D4E5181ACC1409. Date:
Legal Services
DocuSiyned by:
This agreement is approved as to legal form and s firieenccyy. .
lG�L A4441t, 1Stito 9/7/2017
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:
(Pathways to Change Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17