HomeMy WebLinkAboutR 2018-318 DSS - Diaper Bank of NCDocuSign Envelope ID: C4A8ABA9- 961E- 4297- 82F0- 5B1739260CFF
ORANGE COUNTY— DEPARTMENT USE ONLY
Fier artment
Party/Vendor Name: Diaper Bank of North Carolina Party/Vendor Contact Person: Michelle Old Contact Phone:
919 -886 -8085 Party/Vendor Address: 1311 E. Club Blvd, City Durham State: NC Zip: 27704 Department: Social
Services Amount: $10,000 Purpose: Outcome Based Diaper Distribution Program Budget Code(s): 10400120-
&30000 Vendor # 65126 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoZ Contract Type:
(Check one) New 9 Renewal ❑ Amendment ❑ Effective Date July 1, 2018 Approved by Board Yes[:] No❑
Agenda Date:
This agreement is approved as to tei Docu Signed by:
N w6t&
Department Director's Signature
DAE1E196A836455...
tent:
Information Technologies
Date: 7/24/2018
(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer
Risk Management
Date:
This agreement is approved for sufcienc-- °'D=o- c°u-s-i- g°ne-d ° d y: - `_wx °rds, specifications, and requirements:
aUSX (bVln.t 6 7/24/2018
Office of the Risk Management Office Date:
7FDCF917E800498...
Financial Services
This instrument has been pre - audited it Docusigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 7/24/2018
7NE5181ACC1409...
This agreement is approved as t DocuSigned by:
Office of the Count Attorney 4CA4 -
y 4C35C68304CA4A9...
Legal Services
ncy:
Clerk to the Board
Late:
7/25/2018
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd caoran$ecountync,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:
7