HomeMy WebLinkAboutR 2017-589-E Finance - Orange County Rape Crisis Center - Outside Agency Performance Agreement DocuSign Envelope ID: E85EF868-A4BB-49ED-96E1-165F3DADBAE4
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Rape Crisis Center Party/Vendor Contact Person: Alyson Culin Contact
Phone: 919-968-4647 Party/Vendor Address: 1506 E.Franklin St, Suite 302 City Chapel Hill State:NC Zip: 27514
Department:Finance &Administrative Services Amount: 52500 Purpose: FY 2017-18 Outside Agency Performance
Agreement Budget Code(s): 10495050710009 Vendor # 800015 (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 fo �i9r :
,� „i,,,,L 10/11/2017
Department Director's Signature Date:
7B4E5181 ACC1•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 insu ecatti a-kl,s',specifications,and requirements:
QUsa. (avvul o 10/24/2017
Office of the Risk Management Officer 7FBGF9 6@9Q499 Date:
Financial Services
This instrument has been pre-audited in the manner • 'imetiblyctlie Local Government Budget and Fiscal Control Act:
0 d 10/11/2017
Office of the Chief Financial Officer � e4 ,.8ancc,�oe. Date:
�
Legal Services
This agreement is approved as to legal form s°affkg' 10: 10/24/2017
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:
(Orange County Rape Crisis Center)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17