HomeMy WebLinkAboutR 2017-586-E Finance - Piedmont Wildlife Center - Outside Agency Performance Agreement DocuSign Envelope ID:A6B9A80E-25C6-439A-A77D-6C8B04CDDFE2
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Piedmont Wildlife Center Party/Vendor Contact Person: Joshua Starling Contact Phone: 919-
489-0900 Party/Vendor Address: 364 Leigh Farm Rd. City Durham State: NC Zip: 27707 Department: Finance &
Administrative Services Amount: 4475 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget
Code(s): 10495050719032 Vendor# 51232 (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 tec 'ca ?rrinfidb6ontent:
e' 00,44'/'i'°'L 10/11/2017
Department Director's Signature 7D4E5181ACC1409_, 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 i vamiiards,specifications,and requirements:
Riskk. (,6yvj tt0 10/16/2017
Office of the Risk Management Officer ZEnCPQVRRf1040R Date:
Financial Services
DocuSigned b :
This instrument has been pre-audited in the nn requir by the Local Government Budget and Fiscal Control Act:
"'OA '"`vg. 10/11/2017
Office of the Chief Financial Officer 7D4E5181ACC1409. Date:
Legal Services
This agreement is approved as to legal fo ancT3e tt*1ty:
atAIAL A4441t 1 SCb 10/23/2017
Office of the County Attorney 079A4DR,RCn 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:
(Piedmont Wildlife Center)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17