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DocuSign Envelope ID: ED2382C9-A179-4082-A143-C434266568CD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Chapel Hill Training Outreach Project, Inc./KidSCope Party/Vendor Contact Person: Mike <br /> Mathers Contact Phone: 919-644-6590 x 4810 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill <br /> State: NC Zip: 27514 Department: Finance & Adm. Srv. Amount:$ 75,000 Purpose: Outside Agency Performance <br /> Agreement Budget Code(s): 10495050 710015 Vendor 4 800060 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1 <br /> 2015 Approved by Board YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature 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 specifications: <br /> ^--DocuSign ed by: <br /> Office of the Chief Information Officer rNAL l "_ l,(.1-bvu Date: 8/10/2015 <br /> 232DFFC2CFA847B... <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 Office CA7FDCF9176800498...uSa (hm,,ttb Date: 8/10/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the maq <br /> Cu Fr rygpired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer <br /> _I—P&(At bVu Date: 8/10/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to�"fgjWA14.sufficiency: <br /> Office of the County Attorney Date: 8/11/2015 <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 /> (Chapel Hill Training Outreach Project,Inc./KidSCope) <br /> Orange County Outside Agency Performance Agreement Page 7 of 7 <br /> Rev. 6115 <br />