HomeMy WebLinkAboutR 2018-507 Finance - Club Nova outside agency agreementDocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Club Nova Community, Inc. Party/Vendor Contact Person: Karen Kincaid Dunn Contact
Phone: 919 -968 -6682 Party/Vendor Address: 103 D. West Main Street City Carrboro State: NC Zip: 27510
Department: Finance & Administrative Services Amount: $16,250 Purpose: FY 2018 -19 Outside A ency /Human
Services Performance Agreeement Budget Code(s): 10495050- 719048 Vendor # 805426 (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 DocuSigned by:
Department Director's Signature Date: 8/27/2018
P g ACC,4a9...
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 in DocuSigned by: ' ecifications, and requirements:
aUS& (,bVln.t,{�6 8/27/2018
Office of the Risk Management Officer 7FDCF91 76900498... Date:
Financial Services
This instrument has been pre- audited in the mannC Docusigned ay: 3overnment Budget and Fiscal Control Act:
8/27/2018
Office of the Chief Financial Officer 7DaES�a,ACC,aag... Date:
Legal Services
This agreement is approved as to legal form E4035CB8304CA4M... ocuSigned by:
Office of the County Attorney Date: 8/28/2018
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:
(Club Nova Community, Inc.)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118