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DocuSign Envelope ID: 1A43D806-0D44-4AC1-898C-3042FDBCA241 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Child Care Services Association Party/Vendor Contact Person: Sue Russell Contact Phone: <br /> 919-967-3272 Party/Vendor Address: 1829 East Franklin Street Bldg 1000 City Chapel Hill State: NC Zip: 27514 <br /> Department: Finance & Administrative Services Amount: 5250 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050719073 Vendor # 804576 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical s''4%-liEhCl nt: <br /> Department Director's Signature Date: 8/31/2017 <br /> 181ACC1409... <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 insur ecatartjeletras,specifications, and requirements: <br /> aMtSA. £ Y1A,t 6 9/5/2017 <br /> Office of the Risk Management Officer Date: <br /> FBer9176810498... <br /> Financial Services <br /> This instrument has been pre-audited in the man r r& the Local Government Budget and Fiscal Control Act: <br /> aw- 8/31/2017 <br /> Office of the Chief Financial Officer Date: <br /> 7o4E5181ACriA09 <br /> Legal Services <br /> This agreement is approved as to legal form ands rciGlll{ gned by: <br /> t UAL Aunt, 1 SCb 9/5/2017 <br /> Office of the County Attorney 079Aan95cfF4FR 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 /> (Child Care Services Association) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />