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DocuSign Envelope ID: EB541A3B-1E01-49AB-9E09-7987ECAEC1C4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Rogers-Eubanks Neighborhood Association Party/Vendor Contact Person: Robert Campbell <br /> Contact Phone: 919-933-6210 Party/Vendor Address: 101 Edgar Street City Chapel Hill State: NC Zip: 27516 <br /> Department: Finance & Administrative Services Amount: 20000 Purpose: Outside Agencies Funding Budget <br /> Code(s): 10495050-719061 Vendor# 62054 (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 ELe64W by. <br /> Department Director's Signature Date:11/9/2016 <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 insur agvdw 2 )specifications,and requirements: <br /> gusa, (hV�t tff6 <br /> Office of the Risk Management Officer ,F rFg�7�Rnnagg Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ginrrm <br /> Date: 11/9/2016 <br /> naFS� nq <br /> Legal Services <br /> This agreement is approved as to legal form and su ici�14E�`. ed by. <br /> Office of the County Attorney �nssnaftsn papa 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 /> (Rogers-Eubanks Neighborhood Association) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />