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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Schools Party/Vendor Contact Person: Dr. Jake He Contact Phone: 919- <br /> 732-8126 Party/Vendor Address: 200 E. King Street City Hillsborough State: NC Zip: 27278 Department: Health <br /> Amount: $25,100.00 Purpose: Enroll students in Kindergarten Jump Start Program Budget Code(s): 10412020- <br /> 681000-71453 Vendor# 178 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No X Contract Type: <br /> (Check one) New X Renewal ❑ Amendment ❑ Effective Date 6/1/15 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical orm and content: <br /> Department Director's Signature M— / Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specificationsi. <br /> ;A3 <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer X Date: <br /> Financial Services <br /> This instrument has been pre-audited ira-4 er equired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer c- <br /> ; w jQ11n Date: <br /> C4_1_0 <br /> Legal Services <br /> This agreement is approved as to 1 a fa an su iency: <br /> Office of the County Attorney Date:w <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydg-oran eg countync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Orange County Outside Agency Performance Agreement Page 6 of 6 <br />