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DocuSign Envelope ID: 56F58E6E-B4D7-4C 1 5-A41 B-1 1760E69E95E <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Big Brothers Big Sisters of the Triangle,Inc. Party/Vendor Contact Person: CEO Kim Breeden <br /> Contact Phone: 919.850.9772 Party/Vendor Address: 808 Aviation Parkway, Suite 900 City Morrisville State: NC <br /> Zip: 27560 Department: Finance & Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement <br /> Budget Code(s): 10495050 719039 Vendor 4 800044 (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 tech"kvAi waQontent: <br /> Department Director's Signature PMAL t'"-+bVu Date: 8/10/2015 <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 /> ''11LL <br /> Office of the Risk Management Officer PCs& 6bvvt,e,ttb Date: 8/10/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the Docu Enquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer <br /> bvu Date: 8/10/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to lei, ufficiency: <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 /> (Big Brothers Big Sisters of the Triangle,Inc) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />