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DocuSign Envelope ID:43E9B846-09E2-4994-94AC-B09174436B31 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone:919923- <br /> 6915 Party/Vendor Address: 2518 Millwood Court City Chapel Hill State:NC Zip: 27514 Department: Finance & <br /> Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10495050 719068 <br /> Vendor 4 60958 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date July 1, 2015 Approved by Board YesX No❑ Agenda <br /> Date: June 16,2015 <br /> This agreement is approved as to techni b ".content: <br /> Department Director's Signature r Date: 8/7/2015 <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 of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''111L <br /> Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date:8/7/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> --DocuSigne_ed by: <br /> Office of the Chief Financial Officer P� (� l(1-bVu Date: 8/7/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to ggd sufficiency: <br /> Office of the County Attorney �� Date: <br /> 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 @ 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 /> (Ligo Dojo of Budo Karate) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />