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DocuSign Envelope ID:64D61581-25C0-4408-84C2-991109E2DF4C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Inter-Faith Council for Social Service Party/Vendor Contact Person: Jackie Jenks Contact <br /> Phone: 919-929-6380 Party/Vendor Address: 110 West Main Street City Carrboro State: NC Zip: 27510 <br /> Department:Finance &Administrative Services Amount: 50000 Purpose: FY 2017-18 Outside Agency Performance <br /> Agreement Budget Code(s): 10495050710022 Vendor # 800007 (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 /> This agreement is approved as to technical 4 Plgo nt: <br /> Department Director's Signature � � Date:10/10/2017 <br /> 7B4E51-81 ACC 1.90.9 <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 i r[aeggst''" 1arr1ds,specifications,and requirements: <br /> QVASA. C,6v A tt0 10/16/2017 <br /> Office of the Risk Management Officer Date: <br /> 7FBC-F9970800498... <br /> Financial Services <br /> This instrument has been pre-audited in the ma :cgl�>sfyldly the Local Government Budget and Fiscal Control Act: <br /> ,� „i,,,,L 10/10/2017 <br /> Office of the Chief Financial Officer ('D � 9 Date: <br /> Legal Services <br /> This agreement is approved as to legal form s°QfF greflO: <br /> ittAIAL A44441t, 1 SCb 10/23/2017 <br /> Office of the County Attorney 079AADsscr1E4.EB._ 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 /> (Inter-Faith Council for Social Service) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />