HomeMy WebLinkAboutR 2019-781 DSS - The Exchange Club Family Center Alamance County DocuSign Envelope ID:94DODA4A-83C1-42A4-8FB2-44BO273OE7D2
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: The Exchange Club's Family Center in Alamance County Party/Vendor Contact Person: Sarah
Black Contact Phone:336-227-5601 PartyNendor Address:200 N.Main Street City Graham State:NC Zip: 27253
Department:Social Services Amount:$13,464 Purpose:Outside Agency Funding:Parent Aide Program&Children's
Parent Program Budget Code(s): 10400120-63000 Vendor # 65I97 (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 te( DouuSigned by: t:
Department Director's Signature !1� Date:10/22/2019
C7177FA9443�4C3.
Information Technoloeies
(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 Management
This agreement is approved for sufficienc 'Docusigned by: ' ' rds,specifications,and requirements:
aUS& Cbl^ln.t 6 10/17/2019
Office of the Risk Management Office 7F❑CFs17e800498. Date:
Financial Services
This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act:
4 10/22/2019
Office of the Chief Financial Qfficerlr7NE5181ACC1409. Date:
Leval Services
This agreement is approved as t DocuSigned by: ley:
10/22/2019
Office of the County Attorney, 4035CB8304CA4A0 _ . Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,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:
The Exchange Club's Family Center in Alamance County
Orange County Outside Agency Performance Agreement Page 6 of 9
Rev. 7118