HomeMy WebLinkAboutR 2019-221 Finance - Kidzu Children's Museum outside agency agreement DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Kidzu Children's Museum Party/Vendor Contact Person: Lisa Van Deman Contact Phone:
919-933-1455 Party/Vendor Address: 201 South Estes Drive Suite A9 City Chapel Hill State: NC Zip: 27514
Department: Finance & Administrative Services Amount: 12,992 Purpose: FY 2018-19 Outside Agency/Human
Services Performance Agreeement Budget Code(s): 10695050-720274 Vendor # 800388 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑
Effective Date 7/1/2018 Approved by Board Yes®No❑ Agenda Date: 6/19/2018
This agreement is approved as to technical form DOCuSigned by:
0 4/1/2019
Department Director's Signature lr7NE5181ACC1409 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 insu oocusigned by: ifications,and requirements:
17FDCF0176800408
usa (,4Wt.t,{�6 4/1/2019
Office of the RiskManagement Officer Date:
.
Financial Services
This instrument has been pre-audited in the manner oocusigned by: vernment Budget and Fiscal Control Act:
4 4/1/2019
Office of the Chief Financial Officer 7oaE5181ACC1409. Date:
Legal Services
This agreement is approved as to legal form a DOCUSigned by:
4/8/2019
Office of the County Attorney 4035C68304CA4M Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin ersg oll(a)oran eg 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:
(Kidzu Children's Museum)
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118