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DocuSign Envelope ID: 1263366F- 0902- 4D24- AE16- FC2EBB866669 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Habitat for Humanity, Orange County, NC, Inc. Party/Vendor Contact Person: Susan Levy <br />Contact Phone: (919) 932 -7077 Party/Vendor Address: 88 Vilcom Center Drive, Suite L110 City Chapel Hill State: <br />NC Zip: 27514 Department: Finance & Administrative Services Amount: 41250 Purpose: FY 2018 -19 Outside <br />Agency /Human Services Performance Agreeement Budget Code(s): 10495050- 710023 Vendor # 800020 (N /A if <br />new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ <br />Amendment ❑ Effective Date 7/1/2018 Approved by Board Yes ®No❑ Agenda Date: 6/19/2018 <br />This agreement is approved as to technica DocuSigned ay: <br />Department Director's Signature <br />7D4E5181ACC1409... <br />Information Technologies <br />Date: <br />8/17/2018 <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 />Date: <br />This agreement is approved for sufficiency of in Docusigned by: ' - cifications, and requirements: <br />US& (,b�6 8/17/2018 <br />Office of the Risk Management Officer 117FDCF9176-900498 Date: <br />Financial Services <br />This instrument has been pre- audited in the ma Docusigned ay: al Government Budget and Fiscal Control Act: <br />sU� 8/17/2018 <br />Office of the Chief Financial Officer �DaE51a1ACC,aos... Date: <br />Legal Services <br />This agreement is approved as to legal form an DocuSigned by: <br />8/17/2018 <br />Office of the County Attorney C_4035CB8304CA4M... Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync. og_v <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 />(Habitat for Humanity, Orange County, NC, Inc.) <br />Orange County Outside Agency Performance Agreement Page 7 of 9 <br />Rev. 7118 <br />