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DocuSign Envelope ID: D40ODC89-B8BF-484E-8158-24FOOA82920D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Duke HomeCare & Hospice Party/Vendor Contact Person: BelleStarr Browning Contact <br /> Phone: 919-620-3853 Party/Vendor Address: 4321 Medical Park Drive, Suite 101 City Durham State: NC Zip: <br /> 27704 Department: Finance & Adm. Srv. Amount:$ 1,000 Purpose: Outside Agency Performance Agreement <br /> Budget Code(s): 10495050 710026 Vendor 4 50707 (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 1X%?d &i1d content: <br /> PMAL tA+bVu 8/5/2015 <br /> Department Director's Signature Date: <br /> 232DFFC2CFA847B... <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 8�� &dsgpdards,specifications,and requirements: <br /> QLSA, (bvvt,e b 8/5/2015 <br /> Office of the Risk Management Officer F Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> -DocuSign__ed by: <br /> Office of the Chief Financial Officer �� +(��bw Date: 8/5/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le � �SUfficiency: <br /> Office of the County Attorney Date: 8/7/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLvorm-1gecolinlyne.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 /> (Duke HomeCare&Hospice) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />