HomeMy WebLinkAboutR 2018-025 Finance - Club Nova Performance AgreementDocuSign Envelope ID: 134C4810- 3CA5- 4008- 9E74- 2A07D3AECED8
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Club Nova Community Party/Vendor Contact Person: Karen Kincaid Dunn Contact
Phone: 919- 968 -6682 Party/Vendor Address: 103 D. West Main Street City Carrboro State: NC Zip: 27510
Department: Finance & Administrative Services Amount: 12500 Purpose: FY 2017 -18 Outside Agency Performance
Agreement Budget Code(s): 10495050719048 Vendor # 805426 (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 technic DocuSigned by:
Department Director's Signature
704E51S1ACC1469...
Information Technologies
Date:
1/31/2018
(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
Risk Management
This agreement is approved for sufficiency of DocuSigned by:
Qusa. (6V'l✓t.t,{�6
Office of the Risk Management Officer_ 7FDCF9176800498...
Date:
specifications, and requirements:
Financial Services
This instrument has been pre- audited in the man DocuSigned by:
Office of the Chief Financial Officer
704E5181ACC1409...
Legal Services
This agreement is approved as to legal form a oocusigned by:
�1 wit, �65c6
Office of the County Attorney 079A4D525C7F4FB...
Clerk to the Board
2/2/2018
Date:
Government Budget and Fiscal Control Act:
Date: 1/31/2018
2/2/2018
Date:
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran e� countync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
(Club Nova Community, Inc)
Orange County Outside Agency Performance Agreement
Rev. 7117
Date:
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