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HomeMy WebLinkAboutR 2017-559-E Finance - Ligo Dojo of Budo Karate - Outside Agency Performance Agreement DocuSign Envelope ID: C2E9E60D-5370-4D81-B634-C12E6C6B9DB9 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone: 9199236915 Party/Vendor Address: 630 Weaver Dairy Rd #107 City Chapel Hill State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 3000 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget Code(s): 10495050719068 Vendor # 60958 (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 ned b This agreement is approved as to technical rm aDon u i @o n � e 10/10/2017 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 aQ� p� ;�is,specifications,and requirements: QiSA. (6vvt,e tto 10/12/2017 Office of the Risk Management Officer Date: i FUCF917b8U04.8... Financial Services This instrument has been pre-audited in the er°iMird by the Local Government Budget and Fiscal Control Act: < ' p 0°,4`�"i'm. 10/10/2017 Office of the Chief Financial Officer 7D4E5181ACC1409. Date: Legal Services This agreement is approved as to legal fo QU I�t. gyll, 1 SGb 10/12/2017 Office of the County Attorney Date: 079n4952 C P4Pe.__ 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: (Ligo Dojo of Budo Karate) Orange County Outside Agency Performance Agreement Page 7 of 10 Rev. 7/17