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DocuSign Envelope ID: 5BF9183D-3BD5-4FD7-80DE-F437539D2E9F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person: <br /> Candace Midgett Contact Phone: 919-732-2201 Party/Vendor Address: 201 N. Churton Street City Hillsborough <br /> State: NC Zip: 27278 Department: Finance & Administrative Services Amount: 6600 Purpose: Outside Agencies <br /> Funding Budget Code(s): 10519550-710007 Vendor# 3957 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 7/1/16 Approved <br /> by Board Yes®Nor-1 Agenda Date: 6/21/16 <br /> This agreement is approved as to technical forth a e ftnhoed by: <br /> Department Director's Signature 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 away opecifications,and requirements: <br /> s a. COV'lnd 6 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner @qhu Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7(i Date: <br /> �B&Er1S40 CS 1409... <br /> Legal Services <br /> This agreement is approved as to legal forth and suf creh�Signed by: <br /> Office of the County Attorney RR;1 o D Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.ny_c.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 /> (Historical Foundation of Hillsborough and Orange County) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />