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DocuSign Envelope ID:8A1AB1 BF-ACDB-42A1-A3DE-9E9549E569B4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Farmer Foodshare Party/Vendor Contact Person: Gini Bell Contact Phone: 919-701-2543 <br /> Party/Vendor Address: 902 North Mangum Street City Durham State: NC Zip: 27701 Department: Finance & <br /> Administrative Services Amount: 6250 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget <br /> Code(s): 10695050720170 Vendor# 838481 (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 /> This agreement is approved as to technical f rm` iiMl fit: <br /> ( 00,4`/dia°'L 8/31/2017 <br /> Department Director's Signature 7n4F5181ACC14ne 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 insur os4 telizects;specifications,and requirements: <br /> Riskk. Cana,/lo 9/5/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mann reg?r Local Government Budget and Fiscal Control Act: <br /> ',vg. 8/31/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal form an suft 11"48 by: <br /> QU,UL t. 1 SCb 9/5/2017 <br /> Office of the County Attorney 07_2.4 525C0E9.E8__ 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 /> (Farmer Foodshare) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />