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DocuSign Envelope ID:8E4BA2A0-F8F0-406A-A380-E6C66CCD78B4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Charles House Association Party/Vendor Contact Person: Paul Klever Contact Phone: 919- <br /> 967-7570 Party/Vendor Address: 7511 Sunrise Road City Chapel Hill State: NC Zip: 27514 Department: Finance <br /> & Administrative Services Amount: 22500 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget <br /> Code(s): 10495050710029 Vendor# 800031 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board <br /> Yes No Agenda Date: 6/20/2017 <br /> ocu gned <br /> This agreement is approved as to technical orm <br /> D an cotnt: <br /> eqt "°,1.4t ia,vg. 8/31/2017 <br /> Department Director's Signature 7D4E5181ACC1409_. 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 in $lards,specifications,and requirements: <br /> Q�dso. Cbvvu-ttb 8/31/2017 <br /> Office of the Risk Management Officer 7Rnro, gggggg Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mann r re` Y e5 "the Local Government Budget and Fiscal Control Act: <br /> e'p 0,441 dia,'g. 8/31/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC14O9. Date: <br /> Legal Services <br /> This agreement is approved as to legal form n IgffITOT8�$A�y�:�� <br /> QU,UL 4ytL 1 SCb 9/5/2017 <br /> Office of the County Attorney naLzia 25cnE9.Ea_ 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 /> (Charles House Association) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />