HomeMy WebLinkAboutR 2017-616-E Finance - Kidzu Children's Museum - Outside Agency Performance Agreement DocuSign Envelope ID:0E0892A5-AB8C-4E61-8B53-2125B8922B1 C
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Kidzu Children's Museum Party/Vendor Contact Person: Lisa Van Deman Contact Phone:
919-933-1455 Party/Vendor Address: 201 South Estes Drive Suite A9 City Chapel Hill State: NC Zip: 27514
Department:Finance &Administrative Services Amount: 10460 Purpose: FY 2017-18 Outside Agency Performance
Agreement Budget Code(s): 10695050720274 Vendor # 800388 (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 ieron•.nt:
0 .i 10/10/2017
Department Director's Signature Date:
64€51-81/cee1-409...
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 in ee4tentlaTds,specifications,and requirements:
QVASA. (bVtA. ttb 11/13/2017
Office of the Risk Management Officer ZEnCPci1_7RRn04g8 Date:
Financial Services
This instrument has been pre-audited in the ma er°19etitiPft Ibtiq the Local Government Budget and Fiscal Control Act:
(9q0„./6A 0 .i 10/10/2017
Office of the Chief Financial Officer 7D4E5191ACC1409. Date:
Legal Services
This agreement is approved as to legal form C9i 11O:
ittAIAL A4441t 1 SCb 11/13/2017
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:
(Kidzu Children's Museum)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17