HomeMy WebLinkAboutR 2018-466 Finance - Farmer Foodshare outside agency agreementDocuSign Envelope ID: 3F05AA6E -4F62- 4678- 8F07- 34D6E1679E9A
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919- 701 -2543
Party/Vendor Address: 902 North Mangum Street City Durham State: NC Zip: 27701 Department: Finance &
Administrative Services Amount: 7375 Purpose: FY 2018 -19 Outside Agency/Human Services Performance
Agreeement Budget Code(s): 10695050- 720170 Vendor # 838481 (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 Docu5igneddyy:
Department Director's Signature 704E5181ACC1469...
Information Technologies
Date:
8/22/2018
(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
This agreement is approved for sufficiency of insu DocuSigned by:
Quso. (6V1�.t,{�6
Office of the Risk Management Officer 7FDCF91.7680 0498...
Financial Services
This instrument has been pre- audited in the ma DocuSigned by:
Office of the Chief Financial Officer
7NE5181ACC1469...
]legal Services
This agreement is approved as to legal form a Oocu7 /SSigl nelNdd by:`
�hw"�M1 —�i.
Office of the County Attorney ao35ces3aaCA4M...
Clerk to the Board
Date:
fications, and requirements:
8/22/2018
Date:
l Government Budget and Fiscal Control Act:
8/22/2018
Date:
Date:
8/22/2018
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:
(Farmer Foodshare)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118