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DocuSign Envelope ID: 28872B9E- 993A- 44CA- 8A5E -0BDA1 F6178CB <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Orange County Disability Awareness Council Party/Vendor Contact Person: Timothy Miles <br />Contact Phone: 919 - 245 -4337 Party/Vendor Address: 503 W. Franklin Street Room 113 City Cha ep 1 Hill State: NC <br />Zip: 27516 Department: Finance & Administrative Services Amount: 8,513 Purpose: FY 2018 -19 Outside <br />Agency /Human Services Performance Agreeement Budget Code(s): 10495050- 710032 Vendor # 800037 (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 technical form Docusigned by: <br />8/28/2018 <br />Department Director's Signature 7NE5181ACC146g... 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 rQocusigned ay: ificatlons, and requirements: <br />17FDCF9176SO04M CtSa. (,6Vlnd,{�6 8/29/2018 <br />Office of the Risk Management Officer Date: <br />. <br />Financial Services <br />This instrument has been pre- audited in the manner oocusigned ay: )vernment Budget and Fiscal Control Act: <br />�° °� 8/28/2018 <br />Office of the Chief Financial Officer 7oaES181ACC14a9... Date: <br />Legal Services <br />This agreement is approved as to legal form and Oocusigned by: <br />8/29/2018 <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 soll(a)oran 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 />(OC Disability Awareness Council) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />