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DocuSign Envelope ID: E7F88FC1-7C61-4E68-8AF9-5870F711DEBC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone: 919-403-5555 <br /> Party/Vendor Address: 1502 W.NC Hwy 54, Suite 405 City Durham State:NC Zip: 27707 Department: Finance& <br /> Administrative Services Amount: 5000 Purpose: Outside Agencies Funding Budget Code(s): 10495050-720085 <br /> Vendor#800034 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes®No❑ Agenda Date: <br /> 6/21/16 <br /> This agreement is approved as to technical form I ' DocuSigned dy: <br /> Department Director's Signature r Date: <br /> 7NE5181ACC1409... <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 Docusigned ay: '5cations,and requirements: <br /> aUS& (,bVln.t.{�6 <br /> Office of the Risk Management Officer 7FDCF917e800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mane oocusgnedayyy: iovernment Budget and Fiscal Control Act: <br /> sLJmrxR.C�Gffias� <br /> Office of the Chief Financial Officer 7DaE5181ACC14ag... Date: <br /> Legal Services <br /> This agreement is approved as to legal form and s DocuSigned by: <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 Donna Lloyd upon completion @ Dolloydkoran 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 /> (A Helping Hand) <br /> Orange County Outside Agency Performance Agreement <br /> Rev. 8116 <br />