HomeMy WebLinkAboutR 2016-754 Finance - A Helping Hand performance agreement DocuSign Envelope ID: E7F88FC1-7C61-4E68-8AF9-5870F711DEBC
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone: 919-403-5555
Party/Vendor Address: 1502 W.NC Hwy 54, Suite 405 City Durham State:NC Zip: 27707 Department: Finance&
Administrative Services Amount: 5000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-720085
Vendor#800034 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)
New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes®No❑ Agenda Date:
6/21/16
This agreement is approved as to technical form I ' DocuSigned dy:
Department Director's Signature r Date:
7NE5181ACC1409...
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 Docusigned ay: '5cations,and requirements:
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Office of the Risk Management Officer 7FDCF917e800498... Date:
Financial Services
This instrument has been pre-audited in the mane oocusgnedayyy: iovernment Budget and Fiscal Control Act:
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Office of the Chief Financial Officer 7DaE5181ACC14ag... Date:
Legal Services
This agreement is approved as to legal form and s DocuSigned by:
Office of the County Attorney 4035CB8304CA4M... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran 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:
(A Helping Hand)
Orange County Outside Agency Performance Agreement
Rev. 8116