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DocuSign Envelope ID:82431AC9-7F03-4084-815E-A2EFB34C92BB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Inter-Faith Council for Social Service Party/Vendor Contact Person: Michael Reinke Contact <br /> Phone: 919-929-6380 Party/Vendor Address: 110 West Main Street City Carrboro State: NC Zip: 27510 <br /> Department: Finance & Administrative Services Amount: 50000 Purpose: Outside Agencies Funding Budget <br /> Code(s): 10495050-710022 Vendor# 800007 (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 forma eined 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 insur 1"t specifications,and requirements: <br /> Q�Sa COV'ln,t,{fb <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner Wedt5elhlt Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suffclel ` igned 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 /> (Inter-Faith Council for Social Service) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />