HomeMy WebLinkAboutR 2017-561-E Finance - Historical Foundation of Hillsborough and Orange County - Outside Agency Performance Agreement DocuSign Envelope ID:80528E57-64B2-4BCE-A558-776533408604
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person:
Candace Midgett Contact Phone: 919-732-2201 Party/Vendor Address: 201 N. Churton Street City Hillsborough
State: NC Zip: 27278 Department: Finance&Administrative Services Amount: 6699 Purpose:FY 2017-18 Outside
Agency Performance Agreement Budget Code(s): 10519550710007 Vendor#3957 (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 form 881ffillyd bY:
� p ` rt '`°` 9/21/2017
Department Director's Signature Z04F5181ACf1140O 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 ins- kez '_a rd's,specifications, and requirements:
aMtSA. (MILD l6 10/12/2017
Office of the Risk Management Officer 7EDCF9176800498 Date:
Financial Services
This instrument has been pre-audited in the mann ta°by the Local Government Budget and Fiscal Control Act:
9/21/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as to legal form an nIritetieq �bY:
U iUAL�'Vt.A.VtI, 1)1SG6 10/12/2017
Office of the County Attorney Date:
0-7-9rDC20cer4FB...
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:
(Historical Foundation of Hillsborough and Orange County)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17