HomeMy WebLinkAboutR 2018-482 Finance - Human Rights Center DBA Refugee Community Partnership outside agency agreementDocuSign Envelope ID: A2273A84- 8827 - 4141- A87E- C8CFF83C3936
ORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party/Vendor Name: Human Rights Center of Chapel Hill & Carrboro Party/Vendor Contact Person: Madison Hayes
Contact Phone: 919- 295 -0570 Party/Vendor Address: 117 West Main Street City Carrboro State: NC Zip: 27510
Department: Finance & Administrative Services Amount: 10775 Purpose: FY 2018 -19 Outside Agency /Human
Services Performance Agreeement Budget Code(s): 10495050- 719059 Vendor # 62069 (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 forr DocuSigned by:
Department Director's Signature 4"zw,� Date: 8/23/2018
704E5181ACC1409...
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
This agreement is approved for sufficiency of insura DocuSigned by:
aCisa
Office of the Risk Management Officer 7FDCF917ES00498...
Financial Services
This instrument has been pre - audited in the ma oocu5igned by:
Office of the Chief Financial Officer 704E5181
ACC1409...
]legal Services
This agreement is approved as to legal form an DocuSigned by:
Office of the County Attorney `
4035C68304CA4 A4M...
Clerk to the Board
Date:
cations, and requirements:
Date: 8/24/2018
al Government Budget and Fiscal Control Act:
8/23/2018
Date:
8/24/2018
Date:
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:
(Human Rights Center of Chapel Hill & Carrboro)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118