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ORANGE COUNTY-DEPARTMENT USE ONLY !� 5/77 <br /> Department <br /> Party/Vendor Name: The Are of the Triangle Party/Vendor Contact Person: Robin Baker Contact Phone:919-942- <br /> 5119 Party/Vendor Address: 1709 Legion Road, Suite 100 City Chanel Hill State:NC Zip: 27517 Department: <br /> Finance&Administrative Services Amount: 6000 Purpose: Outside Agencies Funding Budget Code(s): 10495050- <br /> 719023 Vendor# 50706 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment Effective Date 7/1/16 Approved by Board Yes® No❑ <br /> Agenda Date:6/21/16 <br /> This agreement is approved as to technical fo n co <br /> Department Director's Signature x M Date: <br /> Ir <br /> Information Technologies <br /> (Applicahle 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 _ <br /> _ a —Date: <br /> Finan al Services <br /> This instrument has been pre-audited in the manner ire the cal Government Budget and fiscal ontrol Act: <br /> Office of the Chief Financial Officer Date: !� u /- <br /> L al Services <br /> This agreement is approved as to legal m dandsuici <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg countvnc.g`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 /> (The Arc of the Triangle) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />