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DocuSign Envelope ID: 10F0B4DA-C8B5-4AB3-9AFA-939AE0010B18 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Marian Cheek Jackson Center for Saving and Making History Party/Vendor Contact Person: <br /> Della Pollock Contact Phone: 919-960-1670 Party/Vendor Address: 512 W. Rosemary Street City Chapel Hill <br /> State: NC Zip: 27516 Department: Finance & Administrative Services Amount: 11250 Purpose: FY 2017-18 <br /> Outside Agency Performance Agreement Budget Code(s): 10495050719065 Vendor# 838482 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 7/1/2017 Approved by Board YesZ No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical f rm and 8Veerit: <br /> ( 00,4`/dia°'L 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 i PietsigtaMards,specifications,and requirements: <br /> Riskk. Care tt 1t0 10/16/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma er r gw$ec. y the Local Government Budget and Fiscal Control Act: <br /> .,,4t/dia 10/10/2017 <br /> Office of the Chief Financial Officer 7D4E�E5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal form arr__.''ffiNt AY.: <br /> auu,u- (ft rit, 1 SGb 10/23/2017 <br /> Office of the County Attorney Date: <br /> 079A4 52 C9F4FB.__ <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 /> (Marian Cheek Jackson Center for Saving and Making History) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />