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DocuSign Envelope ID: 2F546B53- F2D1- 407D- A1C7- 26EB823DOFFD <br />ORANGE COUNTY— DEPARTMENT USE ONLY <br />Department <br />PartyNendor Name: The Exchange Club's Family Center in Alamance County Party/Vendor Contact Person: Sarah <br />Black Contact Phone: 336 -227 -5601 Party/Vendor Address: 200 N. Main Street City Graham State: NC Zip: 27253 <br />Department: Social Services Amount: $13,464 Purpose: Outside Agency Funding: Parent Aide Program & Children's <br />Parent Program Budget Code(s): 10400120 -63000 Vendor # (N /A if new vendor) Vendor is a BOCC <br />consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7uly 1, <br />2018 Approved by Board Yes❑ Non Agenda Date: <br />This agreement is approved as to te, DocuSigned by: - <br />Na W6 <br />Director's Signature <br />DAE1E196A83B455... <br />tent: <br />Information Technologies <br />Date: 8/29/2018 <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 sufficient' 'pocu5iggpned_ by: . -ds, specifications, and requirements: <br />USX LQwt.t 6 8/28/2018 <br />Office of the Risk Management Officer'll 7FDCF917ES00498... Date. - <br />Financial Services <br />This instrument has been pre - audited ` Docusigned by: <br />Office of the Chief Financial Officer <br />7NE5181ACC1409... <br />This agreement is approved as t OocuSigned by: <br />Office of the County Attorney 4035CB8304CA4A9... <br />the Local Government Budget and Fiscal Control Act: <br />Leeal Services <br />.ncy: <br />Clerk to the Board <br />Date; 8/30/2018 <br />Bat 8/30/2018 <br />e; _ <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion Q Dolloyd@orangecountync.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 />The Exchange Club's Family Center in Alamance County <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />