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DocuSign Envelope ID: D3ADCOFO-56OB-45AA-A3EA-B65E3A3AO6DE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: TABLE Party/Vendor Contact Person: Ashton Tippins Contact Phone: 919-636-4860 <br /> Party/Vendor Address: 209 East Main Street City Carrboro State: NC Zip: 27510 Department: Finance & <br /> Administrative Services Amount: 8500 Purpose: FY 2017-18 Outside Agency Performance Agreement Budget <br /> Code(s): 10495050720116 Vendor# 800791 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2017 Approved by Board <br /> Yes®No❑ Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical DocuSigned by: <br /> ` 1.&1 12/11/2017 <br /> Department Director's Signature 704E5181ACC1409... 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insur;17FDCF91760004H <br /> Docusigned by: ications,and requirements: <br /> US66 (,6 �6 12/28/2017 <br /> Office of the Risk Management Officer ... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the m DocuSigned by: al Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rlt�j Date: 12/11/2017 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal forma � DocuSigned by: <br /> 91A.AA, ha it, 1_GW 12/2 8/2 017 <br /> Office of the County Attorney 079MD525COF4FB... 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 /> (TABLE) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7117 <br />