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DocuSign Envelope ID:9B26E979-2C09-4BE7-801C-3DDB484D92EE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange County Rural Alliance Party/Vendor Contact Person: Norma White Contact Phone: <br /> 919-732-8527 Party/Vendor Address: 4901 Schley Road City Hillsborough State: NC Zip: 27278 Department: <br /> Finance & Administrative Services Amount: 12500 Purpose: FY 2017-18 Outside Agency Performance Agreement <br /> Budget Code(s): 10495050719075 Vendor# 800783 (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 /> This agreement is approved as to technical rm° infi "nt: <br /> (9q0„./6A 00,4`/diam. 9/21/2017 <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 incur speci fications,and requirements: <br /> Q:taisciarolgy: <br /> SA. (6vvt,e +t 9/21/2017 <br /> Office of the Risk Management Officer nr�o, gggggg Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner equWeBrig Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ('7D4EE5181ACC1409. Date: 9/21/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and su 4eie ity°by: <br /> KAAL A'at' -SCE 9/21/2017 <br /> Office of the County Attorney o79n4D525cOF4FB_. 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 Rural Alliance) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />