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DocuSign Envelope ID:3B67A5FD-6776-4322-9152-0531CA4BC4BD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Public Gallery of Carrboro,DBA WCOM Community Radio Party/Vendor Contact Person: Art <br /> Menius Contact Phone: 919-929-9601 Party/Vendor Address: 300-G East Main Street City Carrboro State:NC Zip: <br /> 27510 Department: Finance & Administrative Services Amount: 1000 Purpose: FY 2017-18 Outside Agency <br /> Performance Agreement Budget Codc(s): 10695050720273 Vendor# 861074 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes®No❑ Agenda Date: 6/20/2017 <br /> This agreement is approved as to technics DocuSigned by: <br /> Department Director's Signature Date:11/27/2017 <br /> 7D4E51S1ACC1469... <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of ins DocuSlgned by: cifications,and requirements: <br /> [7FDCF9176900498 <br /> ils& �,OVln.A6 11/27/2017 <br /> Office of the Risk Management Officer ... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mann L)ocu5ig,; d by:' T Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � Date: 11/27/2017 <br /> 7NE5181ACC14d9... <br /> Legal Services <br /> This agreement is approved as to legal form a DocuSigned by: <br /> 9In.ZAk h0it, '[DSO 11/27/2017 <br /> Office of the County Attorney 079A4D525C0F4FB... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran e� 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 /> (Public Gallery of Carrboro,DBA WCOM Community Radio) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7117 <br />