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DocuSign Envelope ID: 134C4810- 3CA5- 4008- 9E74- 2A07D3AECED8 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Club Nova Community Party/Vendor Contact Person: Karen Kincaid Dunn Contact <br />Phone: 919- 968 -6682 Party/Vendor Address: 103 D. West Main Street City Carrboro State: NC Zip: 27510 <br />Department: Finance & Administrative Services Amount: 12500 Purpose: FY 2017 -18 Outside Agency Performance <br />Agreement Budget Code(s): 10495050719048 Vendor # 805426 (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 technic DocuSigned by: <br />Department Director's Signature <br />704E51S1ACC1469... <br />Information Technologies <br />Date: <br />1/31/2018 <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 <br />Risk Management <br />This agreement is approved for sufficiency of DocuSigned by: <br />Qusa. (6V'l✓t.t,{�6 <br />Office of the Risk Management Officer_ 7FDCF9176800498... <br />Date: <br />specifications, and requirements: <br />Financial Services <br />This instrument has been pre- audited in the man DocuSigned by: <br />Office of the Chief Financial Officer <br />704E5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form a oocusigned by: <br />�1 wit, �65c6 <br />Office of the County Attorney 079A4D525C7F4FB... <br />Clerk to the Board <br />2/2/2018 <br />Date: <br />Government Budget and Fiscal Control Act: <br />Date: 1/31/2018 <br />2/2/2018 <br />Date: <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran e� countync.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 <br />(Club Nova Community, Inc) <br />Orange County Outside Agency Performance Agreement <br />Rev. 7117 <br />Date: <br />Page 7 of 10 <br />