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DocuSign Envelope ID: C2E9E60D-5370-4D81-B634-C12E6C6B9DB9 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Ligo Dojo of Budo Karate Party/Vendor Contact Person: Nathan Ligo Contact Phone: <br /> 9199236915 Party/Vendor Address: 630 Weaver Dairy Rd #107 City Chapel Hill State: NC Zip: 27514 <br /> Department: Finance & Administrative Services Amount: 3000 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050719068 Vendor # 60958 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> ned b <br /> This agreement is approved as to technical rm aDon u i @o n � <br /> e 10/10/2017 <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 insu aQ� p� ;�is,specifications,and requirements: <br /> QiSA. (6vvt,e tto 10/12/2017 <br /> Office of the Risk Management Officer Date: <br /> i FUCF917b8U04.8... <br /> Financial Services <br /> This instrument has been pre-audited in the er°iMird by the Local Government Budget and Fiscal Control Act: <br /> < ' p 0°,4`�"i'm. 10/10/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal fo <br /> QU I�t. gyll, 1 SGb 10/12/2017 <br /> Office of the County Attorney Date: <br /> 079n4952 C P4Pe.__ <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 /> (Ligo Dojo of Budo Karate) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />