HomeMy WebLinkAboutR 2015-687 Finance - Ligo Dojo of Budo Karate outside agency agreement(Ligo Dojo of Budo Karate)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6/15
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone: 919923-
6915 Party/Vendor Address: 2518 Millwood Court City Chapel Hill State: NC Zip: 27514 Department: Finance &
Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 719068
Vendor # 60958 (N/A if new vendor) Vendor is a BOCC consultant? Yes NoX Contract Type: (Check one)
New Renewal Amendment Effective Date July 1, 2015 Approved by Board YesX No Agenda
Date: June 16, 2015
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ 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 insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ 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:_________
DocuSign Envelope ID: 43E9B846-09E2-4994-94AC-B09174436B31