HomeMy WebLinkAboutR 2019-308 Health - Orange Co BOE Family Success Alliance performance agreement DocuSign Envelope ID:36D63727-ECEB-44E6-B606-41E97EF5D597
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange County Board of Education Party/Vendor Contact Person: Michele Woodson Contact
Phone: 919-245-4001 Party/Vendor Address: 1914 New Hope Church Road City Chapel Hill State:NC Zip: 27514
Department: Health Amount: $68,310 Purpose: Provide summer k-readiness and literacy program Budget Code(s):
10412020-630000-71453 Vendor # 178 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No X
Contract Type: (Check one) New ❑ Renewal X Amendment ❑ Effective Date 5/20/19 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:
6 1iK as �' S�tw� 5/31/2019
Department Director's Signature Date:
3C16F2D09E3445F.
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 6ocu5ign�ed_by:
. rds,specifications,and requirements:
/
USX ( r 6 6/1/2019
Office of the Risk Management Officer[,7FDCF9176900498. Date:
Financial Services
This instrument has been pre-audited:1r7D4E5181A=A00.
Docusigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office Date: 6/2/2019
Legal Services
This agreement is approved as tc DacuSigned by: _r
"k kxvit, Twb 6/3/2019
Office of the County Attorney Date:
079A4D525C0F4FB.
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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Revised 212019