HomeMy WebLinkAboutR 2017-583-E Finance - A Helping Hand - Outside Agency Performance Agreement DocuSign Envelope ID: EA54395E-EA79-461 B-8A4A-AODF56E9A02D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone: 919-403-5555
Party/Vendor Address: 1502 W.NC Hwy 54, Suite 405 City Durham State:NC Zip: 27707 Department: Finance&
Administrative Services Amount: Purpose: FY 2017-18 Outside Agency Performance Agreement Budget Code(s):
10495050720085 Vendor# 800034 (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 YesZ No
❑ Agenda Date: 6/20/2017
This agreement is approved as to technical fo i 1 t:
Department Director's Signature 0 � Date: 10/17/2017
D-4€51-81/cee1-*@9...
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 marls,specifications,and requirements:
Q�SA. (,6VtA. tt0 10/18/2017
Office of the Risk Management Officer 7FBGF9 6@9Q499 Date:
Financial Services
This instrument has been pre-audited in the manna 4,1iPatiet9yythe Local Government Budget and Fiscal Control Act:
e, 0 „i,,,,L 10/17/2017
Office of the Chief Financial Officer (' D � 9 Date:
Legal Services
This agreement is approved as to legal form an fiiaoy:
QU.IA - rit 1 SCb 10/23/2017
Office of the County Attorney Date:
079A4D525COF4FB...
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:
(A Helping Hand)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17