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DocuSign Envelope ID:80528E57-64B2-4BCE-A558-776533408604 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person: <br /> Candace Midgett Contact Phone: 919-732-2201 Party/Vendor Address: 201 N. Churton Street City Hillsborough <br /> State: NC Zip: 27278 Department: Finance&Administrative Services Amount: 6699 Purpose:FY 2017-18 Outside <br /> Agency Performance Agreement Budget Code(s): 10519550710007 Vendor#3957 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective <br /> Date 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical form 881ffillyd bY: <br /> � p ` rt '`°` 9/21/2017 <br /> Department Director's Signature Z04F5181ACf1140O 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- kez '_a rd's,specifications, and requirements: <br /> aMtSA. (MILD l6 10/12/2017 <br /> Office of the Risk Management Officer 7EDCF9176800498 Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mann ta°by the Local Government Budget and Fiscal Control Act: <br /> 9/21/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as to legal form an nIritetieq �bY: <br /> U iUAL�'Vt.A.VtI, 1)1SG6 10/12/2017 <br /> Office of the County Attorney Date: <br /> 0-7-9rDC20cer4FB... <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 /> (Historical Foundation of Hillsborough and Orange County) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />