HomeMy WebLinkAboutR 2018-518 DSS - Exchange Club Family Center outside agency agreementDocuSign Envelope ID: 2F546B53- F2D1- 407D- A1C7- 26EB823DOFFD
ORANGE COUNTY— DEPARTMENT USE ONLY
Department
PartyNendor Name: The Exchange Club's Family Center in Alamance County Party/Vendor Contact Person: Sarah
Black Contact Phone: 336 -227 -5601 Party/Vendor Address: 200 N. Main Street City Graham State: NC Zip: 27253
Department: Social Services Amount: $13,464 Purpose: Outside Agency Funding: Parent Aide Program & Children's
Parent Program Budget Code(s): 10400120 -63000 Vendor # (N /A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7uly 1,
2018 Approved by Board Yes❑ Non Agenda Date:
This agreement is approved as to te, DocuSigned by: -
Na W6
Director's Signature
DAE1E196A83B455...
tent:
Information Technologies
Date: 8/29/2018
(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 sufficient' 'pocu5iggpned_ by: . -ds, specifications, and requirements:
USX LQwt.t 6 8/28/2018
Office of the Risk Management Officer'll 7FDCF917ES00498... Date. -
Financial Services
This instrument has been pre - audited ` Docusigned by:
Office of the Chief Financial Officer
7NE5181ACC1409...
This agreement is approved as t OocuSigned by:
Office of the County Attorney 4035CB8304CA4A9...
the Local Government Budget and Fiscal Control Act:
Leeal Services
.ncy:
Clerk to the Board
Date; 8/30/2018
Bat 8/30/2018
e; _
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion Q Dolloyd@orangecountync.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:
The Exchange Club's Family Center in Alamance County
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118