HomeMy WebLinkAboutR 2017-562-E Finance - El Centro Hispano, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:42FC26E4-086D-47F4-A291-0A9A8706CA60
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: El Centro Hispano, Inc. Party/Vendor Contact Person: Pilar Rocha-Goldberg Contact Phone:
919-687-4635, x43 Party/Vendor Address: 2000 Chapel Hill Road, Suite 26A City Durham State: NC Zip: 27707
Department: Finance &Administrative Services Amount: 31905 Purpose: FY 2017-18 Outside Agency Performance
Agreement Budget Code(s): 10495050719058 Vendor # 801399 (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
Do uSi n d b
This agreement is approved as to technical fo m ana c t;9 Y.
Department Director's Signature `'04E5181ACCCC1409... �� Date: 8/31/2017
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 inst finis,specifications, and requirements:
MSi. 6b11utl6 10/12/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the mann r 1118tIVte Local Government Budget and Fiscal Control Act:
p 0°44`"L 8/31/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as to legal form and a Mf&yind by:
'1' I`1 tl' 1 SCb 10/12/2017
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:
(El Centro Hispano,Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17