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DocuSign Envelope ID:80D157E5-4F1A-4810-B2B8-EE640BAE05B1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Orange County Rape Crisis Center Party/Vendor Contact Person: Shamecca Bryant Contact <br /> Phone: 919-968-4647 Party/Vendor Address: 1506 E. Franklin St., PO Box 4722 City Chapel Hill State: NC Zip: <br /> 27514 Department: Finance & Adm. Srv. Amount:$ 30,000 Purpose: Outside Agency Performance Agreement <br /> Budget Code(s): 10495050 710009 Vendor 4 800015 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by <br /> Board YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to tec ' bC .nd,:content: <br /> � <br /> ,A+bVu <br /> Department Director's Signature PMAL Date: 8/3/2015 <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 specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency o "[&17a§,gia s ndards,specifications,and requirements: <br /> Q�SA rbvvte tt0 8/4/2015 <br /> Office of the Risk Management Officer � aeaa Date: <br /> Financial Services <br /> This instrument has been pre-audited in th quired by y the Local Government Budget and Fiscal Control Act: <br /> 77+bvu <br /> Office of the Chief Financial Officer Date: 8/3/2015 <br /> Legal Services <br /> This agreement is approved as to le i4 M*ftV1%fficiency: <br /> Office of the County Attorney Date: 8/5/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <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 Rape Crisis Center) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />