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DocuSign Envelope ID:OCB447B6-557A-44BE-A43B-987EO3ADAE3A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone: <br /> 919-914-6153 Party/Vendor Address: 200 N Greensboro Street, Suite C-2 City Carrboro State: NC Zip: 27510 <br /> Department: Finance & Adm. Srv. Amount:$ 12,000 Purpose: Outside Agency Performance Agreement Budget <br /> Code(s): 10495050 710024 Vendor 4 800013 (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 technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature <br /> �A blti Date: 9/16/2015 <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"" b D by: <br /> ''1L <br /> Office of the Risk Management OfficerPCs& rbvvt,e ate: 9/15/2015 <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 /> DocuSign__ed by: <br /> Office of the Chief Financial Officer I—NAL +(��bVu Date: 9/16/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal for gm danbd sufficiency: <br /> Office of the County Attorney F�� Date: 9/17/2015 <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 /> (Orange County Literacy Council) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />