HomeMy WebLinkAboutR 2018-452 Finance - Volunteers for Youth outside agency agreementDocuSign Envelope ID: 48292955- 9A36 -47C6- BDDE- 4E9CDOBA074D
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Volunteers for Youth Party /Vendor Contact Person: Susan Worley Contact Phone: 919 -967-
4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro State: NC Zip: 27510 Department: Finance
& Administrative Services Amount: 9075 Purpose: FY 2018 -19 Outside Agency/Human Services Performance
Agreeement Budget Code(s): 10495050- 710011 Vendor # 800018 (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 tec oocusigned by:
Department Director's Signature
P g _ 704E5181ACC1409...
Information Technologies
Date:
8/16/2018
(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
Date:
Risk Management
This agreement is approved for sufficiency of i------i�oeuSigned by: " - pecifications, and requirements:
!��$p4 �,bl''ln.t,{�6 8/17/2018
Office of the Risk Management Officer Date:
7FDCF9176900498...
Financial Services
This instrument has been pre- audited in the manner r Docusigned ay:
Office of the Chief Financial Officer 704E5181ACC1409_.
Legal Services
This agreement is approved as to legal form and ' OocuSigned by:
Office of the County Attorney 4035C68304CA4M...
Clerk to the Board
ernment Budget and Fiscal Control Act:
8/16/2018
Date:
Date:
8/17/2018
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:
(Volunteers for Youth)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118