HomeMy WebLinkAboutR 2017-560-E Finance - Boys & Girls Club of Durham & Orange Counties- Outside Agency Performance Agreement DocuSign Envelope ID:FCA96EA6-6080-4E8E-8EFF-B03ECA597827
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Boys & Girls Club of Durham & Orange Counties Party/Vendor Contact Person: Jerome
Levisy Contact Phone: 919-687-4517 Party/Vendor Address: 808 East Pettigrew Street; PO BOX 446 City Durham
State: NC Zip: 27702 Department: Finance&Administrative Services Amount: 6500 Purpose:FY 2017-18 Outside
Agency Performance Agreement Budget Code(s): 10695050719055 Vendor /1 800171 (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 4P1 2�filent:
10/10/2017
Department Director's Signature �E5181ACc14og... 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 eigii,anjlards,specifications,and requirements:
MSA. rbvvutl6 10/12/2017
Office of the Risk Management Officer Date:
$rDCrons8004D8...
Financial Services
DocuSig d by:
This instrument has been pre-audited in the mann r requ of bx t hee Local Government Budget and Fiscal Control Act:
�,LlJJ 10/10/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as to lega or11:7 �M1iciency:
ate, (ULrit, 1 SCo 10/12/2017
Office of the County Attorney m�n48G2 CO Date:
FB...
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:
(Boys&Girls Club of Durham &Orange Counties)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17