HomeMy WebLinkAboutR 2017-582-E Finance - OC Partnership for Young Children- Outside Agency Performance Agreement DocuSign Envelope ID:E519448F-9F6D-4100-BF62-D7625621FFEB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Partnership for Young Children Party/Vendor Contact Person: Robin Pulver
Contact Phone: 919-967-9091 Party/Vendor Address: 120 Providence Rd, Suite 101 City Chapel Hill State: NC Zip:
27514 Department: Finance & Administrative Services Amount: 5500 Purpose: FY 2017-18 Outside Agency
Performance Agreement Budget Code(s): 10495050719050 Vendor# 62736 (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 techni Off*Sd dc`%ntent:
,�o,, ipz 10/10/2017
Department Director's Signature
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 oaatrn _ids,specifications, and requirements:
aMtSA. £IVIU to 10/18/2017
Office of the Risk Management Officer Date:
$rocrons8004D8...
Financial Services
This instrument has been pre-audited in the m nefl8MiTirby the Local Government Budget and Fiscal Control Act:
Anicido,o0t. 10/10/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as to legal form and.0 "Itlei€ by.
ate, pal, 1SG6 10/23/2017
Office of the County Attorney , • ,oF, G^FB 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 Partnership for Young Children)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17