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DocuSign Envelope ID: 74839431 - 9216- 429F- BFA4- 2AC6473BD9D3 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Pathways to Change Inc. Party/Vendor Contact Person: Annie Burton Contact Phone: 919- <br />391 -0365 Party/Vendor Address: 960 Corporate Drive Suite 408 City Hillsborough State: NC Zip: 27278 <br />Department: Finance & Administrative Services Amount: 7000 Purpose: FY 2018 -19 Outside Agency/Human <br />Services Performance Agreeement Budget Code(s): 10495050- 720112 Vendor # 800419 (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 fo oocusigned ay: <br />1 8/21/2018 <br />Department Director's Signature ` o4E5181ACC1400 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of ins roocusigned ay' cifications, and requirements: <br />17FDCF9176SID04M CtS�. CbVlnd,{�6 8/22/2018 <br />Office of the Risk Management Officer Date: <br />. <br />Financial Services <br />This instrument has been pre- audited in the manne oocuSigned ar overnment Budget and Fiscal Control Act: <br />8/21/2018 <br />Office of the Chief Financial Officer 7D4E5181 ACC 14a9... Date: <br />Legal Services <br />This agreement is approved as to legal form and OocuSigned by: <br />f y 8/22/2018 <br />Office of the County Attorney 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 />(Pathways to Change Inc) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />