HomeMy WebLinkAboutR 2017-639-E Finance - KidSCope Chapel Hill Training Outreach Project, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:39EEFC69-D47C-4CE3-8A5C-0A87B55C2CD0
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: KidSCope: Chapel Hill Training Outreach Project, Inc. Party/Vendor Contact Person: Mike
Mathers Contact Phone: 919-644-6590 x 4810 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill
State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 75000 Purpose: FY 2017-18
Outside Agency Performance Agreement Budget Code(s): 10495050710015 Vendor#800060 (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 f 9fiI oi11t�tit:
�o� 10/10/2017
Department Director's Signature 4E5181ncc1 09... 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 ins Pe9P iffra_hl's,specifications,and requirements:
a�Sa 1bvvutl6 11/27/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the man er ft‘illtVadMi the Local Government Budget and Fiscal Control Act:
a A,,,a ,,,,Z 10/10/2017
Office of the Chief Financial Officer 4ESl8lACClan9 Date:
Legal Services
This agreement is approved as to legal form a ■ su4ne1L'�1'Y:
ate, ha r , 1 S(b 11/27/2017
Office of the County Attorney , • ,oF, G^FB 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:
(KidSCope: Chapel Hill Training Outreach Project,Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17