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HomeMy WebLinkAboutR 2018-445 Finance - KidScope outside agency agreementDocuSign Envelope ID: E7784BE7- 82AF- 4AF1- AA11- 944D2300E7BD ORANGE COUNTY — DEPARTMENT USE ONLY Department Party/Vendor Name: KidSCope: Chapel Hill Training Outreach Project, Inc. Party/Vendor Contact Person: Ter David Contact Phone: 919 - 490 -5577 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 75000 Purpose: FY 2018 -19 Outside Agency /Human Services Performance Agreeement Budget Code(s): 10495050- 710015 Vendor # 800060 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2018 Approved by Board Yes® No❑ Agenda Date: 6/19/2018 This agreement is approved as to technical for ©ocu5igned by: Department Director's Signature Date: 8/17/2018 704E5181ACC1409... 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 Risk Management Date: This agreement is approved for sufficiency of insi DocuSigned by: ;ifications, and requirements: aUs& �,,6Vln.tf{�6 8/20/2018 Office of the Risk Management Officer 7FDCF91 76800498... Date: Financial Services This instrument has been pre - audited in the mann, Docusigned by: 3overnment Budget and Fiscal Control Act: 8/17/2018 Office of the Chief Financial Officer 7NS,aCC,4os... Date: Legal Services This agreement is approved as to legal form and s DocuSigned by: �_ 8/20/2018 Office of the County Attorney Date: -4035CB8304CA4M... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg 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 Date: (KidSCope: Chapel Hill Training Outreach Project, Inc.) Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 7118