HomeMy WebLinkAboutR 2018-444 Finance - Habitat for Humanity outside agency agreementDocuSign Envelope ID: 1263366F- 0902- 4D24- AE16- FC2EBB866669
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Habitat for Humanity, Orange County, NC, Inc. Party/Vendor Contact Person: Susan Levy
Contact Phone: (919) 932 -7077 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State:
NC Zip: 27514 Department: Finance & Administrative Services Amount: 41250 Purpose: FY 2018 -19 Outside
Agency /Human Services Performance Agreeement Budget Code(s): 10495050- 710023 Vendor # 800020 (N /A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 7/1/2018 Approved by Board Yes ®No❑ Agenda Date: 6/19/2018
This agreement is approved as to technica DocuSigned ay:
Department Director's Signature
7D4E5181ACC1409...
Information Technologies
Date:
8/17/2018
(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 sufficiency of in Docusigned by: ' - cifications, and requirements:
US& (,b�6 8/17/2018
Office of the Risk Management Officer 117FDCF9176-900498 Date:
Financial Services
This instrument has been pre- audited in the ma Docusigned ay: al Government Budget and Fiscal Control Act:
sU� 8/17/2018
Office of the Chief Financial Officer �DaE51a1ACC,aos... Date:
Legal Services
This agreement is approved as to legal form an DocuSigned by:
8/17/2018
Office of the County Attorney C_4035CB8304CA4M... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync. og_v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
(Habitat for Humanity, Orange County, NC, Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 9
Rev. 7118