HomeMy WebLinkAboutR 2017-524-E Finance - Orange County Rural Alliance - Outside Agency Performance Agreement DocuSign Envelope ID:9B26E979-2C09-4BE7-801C-3DDB484D92EE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Rural Alliance Party/Vendor Contact Person: Norma White Contact Phone:
919-732-8527 Party/Vendor Address: 4901 Schley Road City Hillsborough State: NC Zip: 27278 Department:
Finance & Administrative Services Amount: 12500 Purpose: FY 2017-18 Outside Agency Performance Agreement
Budget Code(s): 10495050719075 Vendor# 800783 (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 rm° infi "nt:
(9q0„./6A 00,4`/diam. 9/21/2017
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 incur speci fications,and requirements:
Q:taisciarolgy:
SA. (6vvt,e +t 9/21/2017
Office of the Risk Management Officer nr�o, gggggg Date:
Financial Services
This instrument has been pre-audited in the manner equWeBrig Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ('7D4EE5181ACC1409. Date: 9/21/2017
Legal Services
This agreement is approved as to legal form and su 4eie ity°by:
KAAL A'at' -SCE 9/21/2017
Office of the County Attorney o79n4D525cOF4FB_. 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:
(Orange County Rural Alliance)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17