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DocuSign Envelope ID: 1BB65AEA-3E6A-45BE-8A7F-19FFOF9A712A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kidzu Children's Museum Party/Vendor Contact Person: Lisa Van Deman Contact Phone: <br /> 919-933-1455 Party/Vendor Address: 201 South Estes Drive Suite A9 City Chapel Hill State: NC Zip: 27514 <br /> Department: Finance & Administrative Services Amount: 12,992 Purpose: FY 2018-19 Outside Agency/Human <br /> Services Performance Agreeement Budget Code(s): 10695050-720274 Vendor # 800388 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> 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 /> 0 4/1/2019 <br /> Department Director's Signature lr7NE5181ACC1409 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 insu oocusigned by: ifications,and requirements: <br /> 17FDCF0176800408 <br /> usa (,4Wt.t,{�6 4/1/2019 <br /> Office of the RiskManagement Officer Date: <br /> . <br /> Financial Services <br /> This instrument has been pre-audited in the manner oocusigned by: vernment Budget and Fiscal Control Act: <br /> 4 4/1/2019 <br /> Office of the Chief Financial Officer 7oaE5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal form a DOCUSigned by: <br /> 4/8/2019 <br /> Office of the County Attorney 4035C68304CA4M Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin ersg oll(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 /> (Kidzu Children's Museum) <br /> Orange County Outside Agency Performance Agreement Page 6 of 9 <br /> Rev. 7118 <br />