HomeMy WebLinkAboutR 2018-472 Finance - Pathways to Change outside agency agreementDocuSign Envelope ID: 74839431 - 9216- 429F- BFA4- 2AC6473BD9D3
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Pathways to Change Inc. Party/Vendor Contact Person: Annie Burton Contact Phone: 919-
391 -0365 Party/Vendor Address: 960 Corporate Drive Suite 408 City Hillsborough State: NC Zip: 27278
Department: Finance & Administrative Services Amount: 7000 Purpose: FY 2018 -19 Outside Agency/Human
Services Performance Agreeement Budget Code(s): 10495050- 720112 Vendor # 800419 (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 oocusigned ay:
1 8/21/2018
Department Director's Signature ` o4E5181ACC1400 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
Risk Management
Date:
This agreement is approved for sufficiency of ins roocusigned ay' cifications, and requirements:
17FDCF9176SID04M CtS�. CbVlnd,{�6 8/22/2018
Office of the Risk Management Officer Date:
.
Financial Services
This instrument has been pre- audited in the manne oocuSigned ar overnment Budget and Fiscal Control Act:
8/21/2018
Office of the Chief Financial Officer 7D4E5181 ACC 14a9... Date:
Legal Services
This agreement is approved as to legal form and OocuSigned by:
f y 8/22/2018
Office of the County Attorney 4035CB8304CA4M... Date:
Clerk to the Board
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:
(Pathways to Change Inc)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118