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DocuSign Envelope ID: 5F353138-C664-4703-97A3-A28BCE0500B7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Boomerang Youth, Inc. Party/Vendor Contact Person: Sonia Frischemeier Contact Phone: <br /> 919-968-2146 Party/Vendor Address: 825A N. Estes Drive City Chapel Hill State: NC Zip: 27514 Department: <br /> Finance & Administrative Services Amount: 11725 Purpose: FY 2017-18 Outside Agency Performance Agreement <br /> Budget Code(s): 10495050719047 Vendor# 800750 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by <br /> Board YesZ No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical forr oocuSigned by: <br /> 8/31/2017 <br /> Department Director's Signature 7D4E5181 ACC 14n 9 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 sufficiency of insure USA by: [cations,and requirements: <br /> a (SO Co 6 8/31/2017 <br /> Office of the Risk Management Officer 7FDCF917E800498... Date: <br /> Financial Services <br /> DocuSilned by: <br /> This instrument has been pre-audited in the mann iovernment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 8/31/2017 <br /> 7D4E5 181 ACC 14n9... <br /> Legal Services <br /> This agreement is approved as to legal form and °a`usigned by: <br /> glAlo.tt, i' l hhCb 8/31/2017 <br /> Office of the County Attorney - 079A4D525COF4FB... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ )rl oyd @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 /> (Boomerang Youth,Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />