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DocuSign Envelope ID:6E4FDE4F-889C-4627-A1 B5-27D33C78A736 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Communities In Schools of Orange County Party/Vendor Contact Person: Sarah Shapard <br /> Contact Phone: 919.967.6677 Party/Vendor Address: 210 N. Columbia Street,PO Box 9454 City Chapel Hill State: <br /> NC Zip: 27514 Department: Finance & Adm. Srv. Amount:$ 78,800 Purpose: Outside Agency Performance <br /> Agreement Budget Code(s): 10495050 710034 Vendor 4 26951 (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 tec"gA�Abid content: <br /> Department Director's Signature PAdtiL �,AIAbIn, Date: 8/21/2015 <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: 8/20/2015 <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 /> ---DocuSigned by:: <br /> Office of the Chief Financial Officer rNAL (, l(1-bVu Date: 8/21/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le al ora ark sufficiency: <br /> ocu Igoe y: <br /> Office of the County Attorney ✓ Date: 8/21/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd yorangecou 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 /> (Communities In Schools of Orange County) <br /> Orange County Outside Agency Performance Agreement Page 7 of 7 <br /> Rev. 6115 <br />