HomeMy WebLinkAboutR 2017-499-E Finance - Volunteers for Youth - Outside Agency Performance Agreement DocuSign Envelope ID:A13A145D-D67A-4FF7-ABA9-312E380D8DD9
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Volunteers for Youth Party/Vendor Contact Person: Susan Worley Contact Phone: 919-967-
4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro State: NC Zip: 27510 Department: Finance
& Administrative Services Amount: 8750 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget
Code(s): 10495050710011 Vendor# 800018 (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 for flel: meet
a �o� 8/31/2017
Department Director's Signature Date:
7D4E5181A =o'...
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 rk ieeFdsj�specifications,and requirements:
attSA. 6611 t,T1-b 9/7/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the mann r reD uire` e Yihe Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 7D4E5181ACC1409... Date: 8/31/2017
Legal Services
This agreement is approved as to legal form an su?Peen by'
tAAAA- NAM, 1SC6 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:
(Volunteers for Youth)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17