HomeMy WebLinkAboutR 2017-585-E Finance - Inter-Faith Council for Social Service - Outside Agency Performance Agreement DocuSign Envelope ID:64D61581-25C0-4408-84C2-991109E2DF4C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Inter-Faith Council for Social Service Party/Vendor Contact Person: Jackie Jenks Contact
Phone: 919-929-6380 Party/Vendor Address: 110 West Main Street City Carrboro State: NC Zip: 27510
Department:Finance &Administrative Services Amount: 50000 Purpose: FY 2017-18 Outside Agency Performance
Agreement Budget Code(s): 10495050710022 Vendor # 800007 (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 4 Plgo nt:
Department Director's Signature � � Date:10/10/2017
7B4E51-81 ACC 1.90.9
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 i r[aeggst''" 1arr1ds,specifications,and requirements:
QVASA. C,6v A tt0 10/16/2017
Office of the Risk Management Officer Date:
7FBC-F9970800498...
Financial Services
This instrument has been pre-audited in the ma :cgl�>sfyldly the Local Government Budget and Fiscal Control Act:
,� „i,,,,L 10/10/2017
Office of the Chief Financial Officer ('D � 9 Date:
Legal Services
This agreement is approved as to legal form s°QfF greflO:
ittAIAL A44441t, 1 SCb 10/23/2017
Office of the County Attorney 079AADsscr1E4.EB._ 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:
(Inter-Faith Council for Social Service)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17