HomeMy WebLinkAboutR 2018-213 DSS - Interfaith Council outside agency agreement DocuSign Envelope ID: EB294A71-C7D1-4EE4-82B7-60A6149320D4
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Inter-Faith Council Party/Vendor Contact Person: Jackie Jenks Contact Phone: 919-929-6380
Party/Vendor Address: 110_West Main Street City Carrboro State: NC Zip: 27510 Department: Social Services
Amount: 14$ 0,150 Purpose: outside a gency funding + emer ency assistance program Budget Code(s): 10403020-
630000 Vendor# 1149 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoE Contract Type:(Check
one) New ❑ Renewal N Amendment ❑ Effective Date July 1, 2018 Approved by Board Yes❑ No❑
Agenda Bate:
This agreement is approved as to tei DocuSigned by: tent:
I� �,d 6t& 10/10/2018
Department Director's Signature DAE1E198A83B455... Date.
Information Technolozics
(Applicable only to hardwarelsofhvare 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 Mana ement
This agreement is approved for sufficient °oocusgnea by:`---`ds,specifications,and requirements:
,USX �,bV'ln.t 6 9/18/2018
Office of the Risk Management Officer 7FUCFS17ESOOags... Date:
Financial Services
This instrument has been pre-audited i Docusigned ay: the Local Government Budget and Fiscal Control Act:
41.4/1 10/10/2018
Office of the Chief Financial Officer 1ACC1409... _Date:
Legal Services
This agreement is approved as t DocuSigned by: rlcy:
��.�,t��.�ry,�_ 10/10/2018
Office of the County Attorney 4035CB8304CA4M... 13FitC:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion'@ Doi loyd loyd@—oranp-vcounbmc.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:
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