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DocuSign Envelope ID: D9639255-8147-4A2F-A760-941BDE078E48 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Bikeworks Party/Vendor Contact Person: Kevin Hicks Contact Phone: 919-408-7513 <br /> Party/Vendor Address: 115 West Main Street City Carrboro State: NC Zip: 27510 Department: Finance & <br /> Administrative Services Amount: 1000 Purpose: Outside Agencies Funding Budget Code(s): 10695050-720271 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes[]No❑ Agenda Date: 6/21/16 <br /> This agreement is approved as to technical fo anc4�8�ilefftby: <br /> Department Director's Signature Date: 11/9/2016 <br /> p g naFS�g�nm�anq <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 /> QUSA r,Orv�c X16 11/28/2016 <br /> Office of the Risk Management Officer 71MCE91268004M Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner r ..Ted"yeti&:Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � Date:11/9/2016 <br /> �B&Er1S40 CS 1409... <br /> Legal Services <br /> This agreement is approved as to legal form and suf t—C-14035CE8304CMA9 7404,—cyse�by. <br /> 11/28/2016 <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 @ Dollod(cr�.oran eg countync og_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 /> (Triangle Bikeworks) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />