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DocuSign Envelope ID:ODO4B5DD-363F-41 FF-BD24-FAD291133B51 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Living Wage Party/Vendor Contact Person: Susan Romaine Contact Phone: <br /> 919-619-3408 Party/Vendor Address: 218 Lake Manor Road City Chapel Hill State: NC Zip: 0 Department: <br /> Finance & Administrative Services Amount: 17725 Purpose: FY 2017-18 Outside Agency Performance Agreement <br /> Budget Code(s): 10295050720113 Vendor# 801564 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by <br /> Board YesZ No Agenda Date: 6/20/2017 <br /> oe b <br /> This agreement is approved as to technical fo an concuSi n@en y: <br /> (9q0../6A Ziovz4t/dia.m. <br /> Department Director's Signature 7D4E5181ACC1409_. Date: 8/31/2017 <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 insu silt Si t:'' s,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 /> This instrument has been pre-audited in the manner eqtYffeeibrrie Local Government Budget and Fiscal Control Act: <br /> 00 di 8/31/2017 <br /> Office of the Chief Financial Officer ('DA 18.1ArC1 arm Date: <br /> Legal Services <br /> DocuSigned by <br /> This agreement is approved as to legal form dasuthciejny. . <br /> at/UAL � �� <br /> V&OY( 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 @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 /> (Orange County Living Wage) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />