HomeMy WebLinkAboutR 2018-448 Finance - Refugee Support Center outside agency agreementDocuSign Envelope ID: 80124B29- E4DA- 4BOD- A879- D287FCF3F3CA
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Refugee Support Center Party/Vendor Contact Person: Flicka Bateman Contact Phone: 919-
423 -1478 Party/Vendor Address: PO Box 1025 City Carrboro State: NC Zip: 27510 Department: Finance &
Administrative Services Amount: 5000 Purpose: FY 2018 -19 Outside Agency/Human Services Performance
Agreeement Budget Code(s): 10495050- 720276 Vendor # 800468 (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 fo Docusigned by:
8/16/2018
Department Director's Signature ` o4E5181ACC1409 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 it Docu5igned by: )eclficatlons, and requirements:
aUS& �,bV1n.t,{�6 8/17/2018
Office of the Risk Management Officer 7FDCF917E80049s... Date:
Financial Services
This instrument has been pre- audited in the DocuSigned by: )cal Government Budget and Fiscal Control Act:
8/16/2018
Office of the Chief Financial Officer 7NE5181ACC1409... Date:
Legal Services
This agreement is approved as to legal form and Oocusigned by:
Office of the County Attorney 4035CB8 A4 Date.
8 /17/2018
4�35C68304CA4A�...
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:
(Refugee Support Center)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118