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DocuSign Envelope ID:917E7596-F2F2-4BF8-B6C3-DDO5E1503A51 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: El Centro Hispano Party/Vendor Contact Person: Filar Rocha-Goldberg Contact Phone: 919- <br /> 687-4635 Party/Vendor Address: 2000 Chapel Hill Road, Suite 26A City Durham State: NC Zip: 27707 <br /> Department: Health Amount: $54,168 Purpose: Immigrant support services Budget Code(s): Social Justice Funds <br /> Vendor# 801399 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 4-4-17 Approved by Board Yes No Agenda Date: <br /> 4-4-17 <br /> This agreement is approved as to to c? F d content: <br /> LOtU15/1/2017 <br /> Department Director's Signature 5143A9mg45/140E Date: <br /> Information Technologies <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 sufficienc . lAgaric 's'taandards,specifications,and requirements: <br /> [ itUs . rbvvutl6 5/2/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited i e 4fl` 1 @�dquired by the Local Government Budget and Fiscal Control Act: <br /> � p `�°" o°"` 5/11/2017 <br /> Office of the Chief Financial Officer ,D4E51$14Cp1 Q9 Date: <br /> Legal Services <br /> This agreement is approved as t e Th??fid$Y�id.-�suf iciency: <br /> &A 1' Aunt, a 5/11/2017 <br /> Office of the County Attorney 070A411595c0F4FR 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 /> Orange County Outside Agency Performance Agreement—Social Justice Funds Page 6 of 7 <br /> April 2017 <br />