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DocuSign Envelope ID: DB2FC63F- 0403 - 4403- BF86- OF5CB206F3F3 <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Orange County Rural Alliance Party/Vendor Contact Person: Norma White Contact Phone: <br />984 - 217 -0073 Party/Vendor Address: 113 West Hill Ave South City Hillsboroug State: NC Zip: 27278 <br />Department: Finance & Administrative Services Amount: 28017 Purpose: FY 2018 -19 Outside Agency /Human <br />Services Performance Agreeement Budget Code(s): 10495050- 719075 Vendor # 800783 (N /A if new vendor) <br />Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br />Effective Date 7/1/2018 Approved by Board Yes ®No❑ Agenda Date: 6/19/2018 <br />This agreement is approved as to technical f DocuSigned by: <br />01.411 � 8/16/2018 <br />Department Director's Signature 1ACC1469 Date: <br />704E51S... <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insui DocuSigned by: fications, and requirements: <br />Q�tS� �,bi l�.f fib 8/17/2018 <br />Office of the Risk Management Officer 7FDCF9176- 900498... Date: <br />Financial Services <br />This instrument has been pre- audited in the mann DocuSigned by: 3overnment Budget and Fiscal Control Act: <br />8/16/2018 <br />Office of the Chief Financial Officer 7DaES1a,ACC,4as... Date: <br />Legal Services <br />This agreement is approved as to legal form and su Docusigned by: <br />fJ,,,y�_ 8/17/2018 <br />Office of the County Attorney Date: <br />4�35C68304CA4M... <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.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 />(Orange County Rural Alliance) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />