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(OC Disability Awareness Council) <br />Orange County Outside Agency Performance AgreementPage 7of 10 <br />Rev. 7/17 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: OC Disability Awareness CouncilParty/Vendor Contact Person: Timothy MilesContact <br />Phone: 919-245-4337Party/Vendor Address: 503 W. Franklin Street Room 113City Chapel HillState: NCZip: <br />27516 Department: Finance & Administrative Services Amount:$8,250 Purpose: FY 2017-18 Outside Agency <br />Performance AgreementBudget Code(s): 10495050710032Vendor # 800037(N/A if new vendor) Vendor is a <br />BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date <br />7/1/2017Approved by Board Yes No Agenda Date: 6/20/2017 <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature ________________________________________ 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 insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________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 />DocuSign Envelope ID: 07FEE1A8-E83F-44CF-99C4-61A6E4C39BD2 <br /> <br /> <br /> <br />