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DocuSign Envelope ID:6E5B8A48-FE5F-4D57-9897-69AA9521C25F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City State: Zip: Dept Amount: Purpose: Budget Code(s): <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check <br /> one)New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda <br /> Date: <br /> This agreement is approved as to to ni A f?Pfitalid content: <br /> a' i, d ", "e-eA- ,d. <br /> 12/8/2015 <br /> Department Director's Signature Date: <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 sufficient /rims le t: ,standards, specifications,and requirements: <br /> ((USA COVIA,d 6 12/17/2015 <br /> Office of the Risk Management Officer 7DCF9176801)498 Date: <br /> Financial Services <br /> This instrument has been pre-audited i -Vitti'Ft quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer o Date: 12/29/2015 <br /> 7114 E51 81 ACC 1 M9... <br /> Legal Services <br /> This agreement is approved as tartrOPItifilfidalid sufficiency: <br /> - 12/30/2015 <br /> Office of the County Attorney. <br /> ,,_a0.35CB8304CAAA9 Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <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 /> (Centre for HomeOwnership and Economic Development) <br /> Orange County Outside Agency Performance Agreement Page 7 of 7 <br /> Rev. 6/15 <br />