HomeMy WebLinkAboutR 2018-031 Finance - OC Disability Awareness Council Outside agency performance agreement(OC Disability Awareness Council)
Orange County Outside Agency Performance AgreementPage 7of 10
Rev. 7/17
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: OC Disability Awareness CouncilParty/Vendor Contact Person: Timothy MilesContact
Phone: 919-245-4337Party/Vendor Address: 503 W. Franklin Street Room 113City Chapel HillState: NCZip:
27516 Department: Finance & Administrative Services Amount:$8,250 Purpose: FY 2017-18 Outside Agency
Performance AgreementBudget Code(s): 10495050710032Vendor # 800037(N/A if new vendor) Vendor is a
BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date
7/1/2017Approved by Board Yes No Agenda Date: 6/20/2017
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ 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 insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________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:_________
DocuSign Envelope ID: 07FEE1A8-E83F-44CF-99C4-61A6E4C39BD2