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DocuSign Envelope ID:39EEFC69-D47C-4CE3-8A5C-0A87B55C2CD0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: KidSCope: Chapel Hill Training Outreach Project, Inc. Party/Vendor Contact Person: Mike <br /> Mathers Contact Phone: 919-644-6590 x 4810 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill <br /> State: NC Zip: 27514 Department: Finance & Administrative Services Amount: 75000 Purpose: FY 2017-18 <br /> Outside Agency Performance Agreement Budget Code(s): 10495050710015 Vendor#800060 (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 Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical f 9fiI oi11t�tit: <br /> �o� 10/10/2017 <br /> Department Director's Signature 4E5181ncc1 09... 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 Pe9P iffra_hl's,specifications,and requirements: <br /> a�Sa 1bvvutl6 11/27/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the man er ft‘illtVadMi the Local Government Budget and Fiscal Control Act: <br /> a A,,,a ,,,,Z 10/10/2017 <br /> Office of the Chief Financial Officer 4ESl8lACClan9 Date: <br /> Legal Services <br /> This agreement is approved as to legal form a ■ su4ne1L'�1'Y: <br /> ate, ha r , 1 S(b 11/27/2017 <br /> Office of the County Attorney , • ,oF, G^FB 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 /> (KidSCope: Chapel Hill Training Outreach Project,Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />