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DocuSign Envelope ID: 11C6ECAC-8269-4F32-9237-C20AF956210B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919.360.6358 <br /> Party/Vendor Address: 105 Hood Street,45 City Durham State: NC Zip: 27701 Department: Finance &Adm. Srv. <br /> Amount:$ 5,000 Purpose: Outside Agency Performance Agreement Budget Code(s): 10695050 720170 Vendor 4 <br /> 838481 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX Contract Type: (Check one)New ❑ <br /> Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by Board YesX No❑ Agenda Date: June <br /> 16,2015 <br /> This agreement is approved as to tec dr �nyi content: <br /> �AU� � VU Department Director's Signature Date: 9/17/2015 <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 in� ��e""��n''1dl1ards,specifications,and requirements: <br /> Office of the Risk Management Officer El Us& 66vvt,e 6 Date:9/17/2015 <br /> 7FDCF917680)498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner re uired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned 6yq. <br /> Office of the Chief Financial Officer PXIAL bVu Date: 9/17/2015 <br /> -C 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le al orr an sufficiency: <br /> ocu Igoe y: <br /> Office of the County Attorney ✓ 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 /> (Farmer Foodshare) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />