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ORANGE COUNTY—DEPARTMENT USE ONLY A (�I h /� _ 5qY <br /> Department <br /> Party/Vendor Name: Orange County Living Wage Party/Vendor Contact Person: Susan Romaine Contact Phone: <br /> 919-619-3408 Party/Vendor Address: 218 Lake Manor Road City Chanel Hill State: NC Zip: 0 Department: <br /> Finance &Administrative Services Amount: 16750 Purpose: Outside Agencies Funding Budget Code(s): - Vendor <br /> # (N/A if new vendor) Vendor is a BOCC consultant? es ❑ No❑ Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Da 7/1/ pprove y oard Yes®No[] Agenda Date: 6/21/16 <br /> This agreement is approved as to technic 1 rm n c ten <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 sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer �.�"v�. AV Date: <br /> inapeAd Serv' es <br /> This instrument has been pre-audited in the er uir hbhe�Local Gover nment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: D �.r�r <br /> Legal Services <br /> This agreement is approved as to le rm and ency: <br /> Office of the County Attorney Date: 1,6 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydCdoran ecountvnc.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 /> f gunge Cautt 0010r <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />