HomeMy WebLinkAboutR 2019-214 Health - The ArtsCenter Family Success Alliance performance agreement DocuSign Envelope ID:OAOD279A-9654-4BC8-89E9-8B5D1452BAEF
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: The Arts Center, Inc.Party/Vendor Contact Person: Daniel Mayer Contact Phone: 919-929-
2787 Party/Vendor Address: 300-G E. Main Street City Carrboro State: NC Zip: 27510 Department: Health
Amount: ILL 459Purpose: Provide K Ready Camp Entrichment Programming Budget Code(s): 10412020-630000-
71453Vendor#22226 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No ® Contract Type: (Check
one)New ❑ Renewal X Amendment ❑ Effective Date 6-1-19 Approved by Board Yes❑ No❑ Agenda
Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
S�-Wof 4/4/2019
Department Director's Signature_ aC1sF2D0sEsaa5F. Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 sufficienc oocuSigned by: rds, specifications,and requirements:
��sa �AVln.fr�b 4/4/2019
Office of the Risk Management Officer 7FDCF91768004M. Date:
Financial Services
This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act:
4/5/2019
Office of the Chief Financial Officer Date:
- 704E5981ACCt409.
Legal Services
This agreement is approved as t D"uSigned by:
§WAS' �I' 1 4/5/2019
Office of the County Attorney 079A4D525C0F4FB. Date,
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:
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