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DocuSign Envelope ID:99OF6965-575D-4EOD-A54F-9DAD6D65198E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Literacy Council Party/Vendor Contact Person: Alice Denson Contact Phone: <br /> 919-914-6153 Party/Vendor Address: 200 N Greensboro Street, Suite C-2 City Carrboro State: NC Zip: 27510 <br /> Department: Finance & Administrative Services Amount: 15000 Purpose: Outside Agencies Funding Budget <br /> Code(s): 10495050-710024 Vendor# 800013 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes <br /> ®Nor-1 Agenda Date: 6/21/16 <br /> This agreement is approved as to technical form tUpAgnta by: <br /> Department Director's Signature C � Date: <br /> Information Technolo0es <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 insuran add,"specifications,and requirements: <br /> gusx COV'lnd 6 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner Wftff'ig9g�t'he Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7 � n Date: <br /> ....... rm... <br /> Legal Services <br /> This agreement is approved as to legal form and suf 771gned by: <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 @ Dolloydkorangecount.nic.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 /> (Orange County Literacy Council) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />