HomeMy WebLinkAboutR 2017-587-E Finance - Marian Cheek Jackson Center for Saving and Making History - Outside Agency Performance Agreement DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Marian Cheek Jackson Center for Saving and Making History Party/Vendor Contact Person:
Della Pollock Contact Phone: 919-960-1670 Party/Vendor Address: 512 W. Rosemary Street City Chapel Hill
State: NC Zip: 27516 Department: Finance & Administrative Services Amount: 11250 Purpose: FY 2017-18
Outside Agency Performance Agreement Budget Code(s): 10495050719065 Vendor# 838482 (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 f rm and 8Veerit:
( 00,4`/dia°'L 10/10/2017
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 PietsigtaMards,specifications,and requirements:
Riskk. Care tt 1t0 10/16/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the ma er r gw$ec. y the Local Government Budget and Fiscal Control Act:
.,,4t/dia 10/10/2017
Office of the Chief Financial Officer 7D4E�E5181ACC1409. Date:
Legal Services
This agreement is approved as to legal form arr__.''ffiNt AY.:
auu,u- (ft rit, 1 SGb 10/23/2017
Office of the County Attorney Date:
079A4 52 C9F4FB.__
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:
(Marian Cheek Jackson Center for Saving and Making History)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17