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DocuSign Envelope ID:09E509E0-2935-4191-9CFC-035704728105 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Orange County Partnership for Young Children Party/Vendor Contact Person: Robin Pulver <br /> Contact Phone:919-967-9091 Party/Vendor Address: 120 Providence Rd, Suite 101 City Chapel Hill State:NC Zip: <br /> 27514 Department: Finance & Adm. Srv. Amount:$ 2,000 Purpose: Outside Agency Performance Agreement <br /> Budget Code(s): 10495050 719050 Vendor 4 62736 (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 tec "ems content: <br /> Department Director's Signature �Adti� �,AIAbIn, Date: 8/20/2015 <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 mga4gka ired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer I pm/,L tA+bvu Date: 8/20/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le al�o�mgansnfficiency: <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 @ 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 /> (Orange County Partnership for Young Children) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />