HomeMy WebLinkAboutR 2018-446 Finance - OC Rural Alliance outside agency agreementDocuSign Envelope ID: DB2FC63F- 0403 - 4403- BF86- OF5CB206F3F3
ORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Rural Alliance Party/Vendor Contact Person: Norma White Contact Phone:
984 - 217 -0073 Party/Vendor Address: 113 West Hill Ave South City Hillsboroug State: NC Zip: 27278
Department: Finance & Administrative Services Amount: 28017 Purpose: FY 2018 -19 Outside Agency /Human
Services Performance Agreeement Budget Code(s): 10495050- 719075 Vendor # 800783 (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 f DocuSigned by:
01.411 � 8/16/2018
Department Director's Signature 1ACC1469 Date:
704E51S...
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 insui DocuSigned by: fications, and requirements:
Q�tS� �,bi l�.f fib 8/17/2018
Office of the Risk Management Officer 7FDCF9176- 900498... Date:
Financial Services
This instrument has been pre- audited in the mann DocuSigned by: 3overnment Budget and Fiscal Control Act:
8/16/2018
Office of the Chief Financial Officer 7DaES1a,ACC,4as... Date:
Legal Services
This agreement is approved as to legal form and su Docusigned by:
fJ,,,y�_ 8/17/2018
Office of the County Attorney Date:
4�35C68304CA4M...
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:
(Orange County Rural Alliance)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118