HomeMy WebLinkAboutR 2019-483 DSS - OCIM performance agreement DocuSign Envelope ID: 1056F994-88AA-4336-8102-E1 F3178D3BE7
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Orange Congregations in Mission, Inc. Party/Vendor Contact Person: Rev. Sharon S. Freeland
Contact Phone: 919-732-6194 Party/Vendor Address: 300 Millstone Drive City Hillsborough State: NC Zip: 27278
Department: Social Services Amount: $129,450 Purpose: outside agency funding and emergency assistance
programming Budget Code(s): 10403020-630000 Vendor # 12616 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,
2019 Approved by Board Yes®No❑ Agenda Date:June 18,2019
This agreement is approved as to to DocuSigned by: ltent:
Department Director's Si natur � Sf¢vu Date: 7/2 3/2019
p g DAP E198AM455 . - —
Information Technologies
(Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Manazemen#
This agreement is approved for suffiicieni DocuSigned by: irds,specifications,and requirements:
Office of the RiskManagement OfficeQCl$a (4�6 7FDCF0176800408. Date:7/16/2019
Financial Services
This instrument has been pre-audited ' DocuSigned by: the Local Government Budget and Fiscal Control Act:
4 � 7/24/2019
Office of the Chief Financial Officer Date:
7NE5181ACC1409. --••-- —
Legal Services
This agreement is approved as t DocuSigned by: ❑cy:
Office of the County Attorney 4035CB8304CA4M Date:7/24/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion Q Dolloyd@orangecountync.goy
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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