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DocuSign Envelope ID: 8FFCF3D9- 3AF5 -4C83- 9829- AC9D4975107C <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Historical Foundation of Hillsborough and Orange County Party/Vendor Contact Person: <br />Stephanie Pryor Contact Phone: 919 - 732 -2201 Party/Vendor Address: 201 N. Churton Street City Hillsboroug <br />State: NC Zip: 27278 Department: Finance & Administrative Services Amount: 9606 Purpose: FY 2018 -19 Outside <br />Agency /Human Services Performance Agreeement Budget Code(s): 10519550- 710007 Vendor # 3957 (N /A if new <br />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 technical for Docusigned by: <br />8/17/2018 <br />Department Director's Signature 7o4E5181ACC146g... 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 insu 6ocusigned ay: ifications, and requirements: <br />9USa (,bV'Lrt.�t 6 8/17/2018 <br />Office of the Risk Management Officer 7FDCF517B8004g8... Date: <br />Financial Services <br />This instrument has been pre - audited in the manne oocusigned ay: overnment Budget and Fiscal Control Act: <br />C <br />Office of the Chief Financial Officer D CU 8/17/2018 <br />704E5181ACC1469... Date: <br />Legal Services <br />This agreement is approved as to legal form and s Oocusigned by: <br />. 4+��,.�,nk, __ 8/17/2018 <br />Office of the County Attorney 4�35C68304CA4A�... 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 />(Historical Foundation of Hillsborough and Orange County) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />