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DocuSign Envelope ID: B67A2C26-3304-4095-BB1C-73A2BC4A569A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Habitat for Humanity, Orange County, NC, Inc. Party/Vendor Contact Person: Susan Levy <br /> Contact Phone: (919)932-7077 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State: <br /> NC Zip: 27514 Department: Finance & Administrative Services Amount: 37500 Purpose: FY 2017-18 Outside <br /> Agency Performance Agreement Budget Code(s): 10495050710023 Vendor # 800020 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 7/1/2017 Approved by Board YesZ No Agenda Date: 6/20/2017 <br /> cuSi ned b <br /> This agreement is approved as to technical form <br /> Do and co 'tent: <br /> stst ld6,1L 8/31/2017 <br /> Department Director's Signature 7D4E5191ACC1409_. 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 ins i a 1 vds,specifications,and requirements: <br /> Riskk. Cart e tt0 8/31/2017 <br /> Office of the Risk Management Officer ,�nr�o, gggggg Date: <br /> Financial Services <br /> b : <br /> This instrument has been pre audited in the mane r regmrea ! ocal Government Budget and Fiscal Control Act: <br /> or„N 8/31/2017 <br /> Office of the Chief Financial Officer 7D4E5191ACC1409. Date: <br /> Legal Services <br /> Do Si ned <br /> This agreement is approved as to legal form n suic�ie�c <br /> VIAL I t. 1-MO 9/5/2017 <br /> Office of the County Attorney o79A4D525COF4FB_. 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 /> (Habitat for Humanity, Orange County,NC,Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />