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DocuSign Envelope ID:87560079-2786-4376-A189-DC48D9482BE7 1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Exchange Club Center for the Prevention of Child Abuse in North Carolina Party/Vendor <br /> Contact Person: Sarah Black. Contact Phone: 336-748-9028 Party/Vendor Address: 200 N. Main Street City <br /> Graham State:NC Zip: 27253 Department: Social Services Amount:,$9,638 Purpose: Outside Agency Performance <br /> Agreement Budget Code(s): 10400120-630000 Vendor # 62677 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No Contract Type:(Check one)New El Renewal El Amendment ❑ Effective Date July 1, <br /> 2017 Approved by Board Yes No❑ Agenda Date:June 20,2017 <br /> This agreement is approved as to tee cRPtletl content: <br /> N Sf01&, 9/1/2017 <br /> Department Director's Signature D 6AB3SL Date:DAP ri <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 4ns'tfiiamtbwtandards,specifications,and requirements: <br /> A�lsa Cart/al-to 8/30/2017 <br /> Office of the Risk Management Officer 7�nr�o,7�gggggg Date: <br /> Financial Services <br /> This instrument has been pre-audited i t e r►iaii?ier required by the Local Government Budget and Fiscal Control Act: <br /> a Avi..`idia,vg. 9/1/2017 <br /> Office of the Chief Financial Officer 7D4F51H1AC.C1409 Date: <br /> Legal Services <br /> by <br /> This agreement is approved as t CDpcliSigned a ��f eS cy: <br /> GD 9/5/2017 <br /> Office of the County Attorney 079A4D525C0F4FB... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,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 /> The Exchange Club Center for the Prevention of Child Abuse in North Carolina <br /> Orange County Outside Agency Performance Agreement Page 7 of 7 <br /> Rev. 7/17 <br />