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DocuSign Envelope ID: FB3E3E71-F2B8-41 1A-81 C9-1392ACCOFE1 1 <br /> Contract 968-2025 <br /> The Community Empowerment Fund <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Departmen <br /> Party/Vendor Name: The Community Empowerment Fund Party/Vendor Contact Person. Maggie Wes Contact Phone:(919)200-0233 <br /> Party/Vendor Address: 108 W.Rosemary St. City Chapel Hill State:NQ Zip:27516 Department: Social Services Amount: $25,000 <br /> Purpose:Emergency Solutions Grant Budget Code(s):_ Vendor i-R/A (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> 7 NoM Contract Type:(Check one)New Z Renewal[] Amendment 7 Effective Date June 1,2015 Approved by Board YesO <br /> No[] Agenda Date: <br /> This agreement is approved as to technical form auJ�Wgbhed by: <br /> N <br /> Department Director's Signature, a; (,46v, Date: 1/27/2016 <br /> 4bb <br /> Information Technolo2ies <br /> (Applicable only to hardwarelsof4vare purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Mana2ement <br /> This agreement is approved for sufficiency of insuran ndat6sy 4pecifications,and requirements: <br /> Office of the Risk Management Officer Date: 1/25/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner re uir�dcbrfflVtocai Government Budget and Fiscal Control Act: <br /> rl� 1/27/2016 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suffici DocuSigned by: <br /> Office of the County Attorney 7 1��,__Datc: 1/28/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd 2worangecountync.,ggy <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 /> Contract-General(06/15) Page 5 of 5 <br />