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DocuSign Envelope ID: 717C8AE2- 4D6E- 4E46- A9A7- F4213973D039 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Club Nova Community, Inc. 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: $16,250 Purpose: FY 2018 -19 Outside A ency /Human <br />Services Performance Agreeement Budget Code(s): 10495050- 719048 Vendor # 805426 (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 DocuSigned by: <br />Department Director's Signature Date: 8/27/2018 <br />P g ACC,4a9... <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 />Date: <br />Risk Management <br />This agreement is approved for sufficiency of in DocuSigned by: ' ecifications, and requirements: <br />aUS& (,bVln.t,{�6 8/27/2018 <br />Office of the Risk Management Officer 7FDCF91 76900498... Date: <br />Financial Services <br />This instrument has been pre- audited in the mannC Docusigned ay: 3overnment Budget and Fiscal Control Act: <br />8/27/2018 <br />Office of the Chief Financial Officer 7DaES�a,ACC,aag... Date: <br />Legal Services <br />This agreement is approved as to legal form E4035CB8304CA4M... ocuSigned by: <br />Office of the County Attorney Date: 8/28/2018 <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 />(Club Nova Community, Inc.) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />