HomeMy WebLinkAboutR 2017-720-E Finance - Table outside agency agreement DocuSign Envelope ID: D3ADCOFO-56OB-45AA-A3EA-B65E3A3AO6DE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: TABLE Party/Vendor Contact Person: Ashton Tippins Contact Phone: 919-636-4860
Party/Vendor Address: 209 East Main Street City Carrboro State: NC Zip: 27510 Department: Finance &
Administrative Services Amount: 8500 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget
Code(s): 10495050720116 Vendor# 800791 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No®
Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board
Yes®No❑ Agenda Date: 6/20/2017
This agreement is approved as to technical DocuSigned by:
` 1.&1 12/11/2017
Department Director's Signature 704E5181ACC1409... 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 Date:
Risk Management
This agreement is approved for sufficiency of insur;17FDCF91760004H
Docusigned by: ications,and requirements:
US66 (,6 �6 12/28/2017
Office of the Risk Management Officer ... Date:
Financial Services
This instrument has been pre-audited in the m DocuSigned by: al Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer rlt�j Date: 12/11/2017
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal forma � DocuSigned by:
91A.AA, ha it, 1_GW 12/2 8/2 017
Office of the County Attorney 079MD525COF4FB... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� 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:
(TABLE)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7117