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DocuSign Envelope ID: F7F335BA-8B6B-4DF4-825C-8C793AOA9C6F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Club Nova Community, Inc. Party/Vendor Contact Person: Karen Kincaid Dunn Contact <br /> Phone: 919-968-6682 Party/Vendor Address: 103 D. West Main Street City Carrboro State: NC Zip: 27510 <br /> Department: Finance & Adm. Srv. Amount:$ 75,000 Purpose: Outside Agency Performance Agreement Budget <br /> Code(s): 10495050 719048 Vendor 4 805426 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX <br /> Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by Board <br /> YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to techniSW. dad content: <br /> Department Director's Signature , Date: 8/21/2015 <br /> 1j232DFFC2CFA847B <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 auSa 6bvv b Date: 8/21/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in thebm g� ,required by the Local Government Budget and Fiscal Control Act: <br /> 8/21/2015 <br /> Office of the Chief Financial Officer �b�' Date: <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le �l fu in gUd sufficiency: <br /> gne Office of the County Attorney ✓ Date: 8/21/2015 <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 /> (Club Nova Community,Inc) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />