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DocuSign Envelope ID:F03CBAC2-B7E2-4CDB-AFA6-CB52A071BA00 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Historic Hillsborough Commission Party/Vendor Contact Person: Kate Faherty Contact <br /> Phone: 919-732-7451 Party/Vendor Address: 319 N. Churton Street City Hillsborough State: NC Zip: 27278 <br /> Department:Finance&Administrative Services Amount: 8857 Purpose: Outside Agencies Funding Budget Code(s): <br /> 10519550-710005 Vendor# 19187 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (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 form and c X4eftusigned by: <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicahle only to hardwarelsoftware 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 ins ur �a §> ,specifications,and requirements: <br /> a�iSa CbV1n,f✓{{b <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner re 7 @0090hoh-oval Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 0 <br /> "t <br /> ffi Date: <br /> eaee9ze� <br /> Legal Services <br /> This agreement is approved as to legal form and .. d 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 @ Dolloyd&orangecountync.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 /> (Historic Hillsborough Commission) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />