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DocuSign Envelope ID: 1056F994-88AA-4336-8102-E1 F3178D3BE7 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Orange Congregations in Mission, Inc. Party/Vendor Contact Person: Rev. Sharon S. Freeland <br /> Contact Phone: 919-732-6194 Party/Vendor Address: 300 Millstone Drive City Hillsborough State: NC Zip: 27278 <br /> Department: Social Services Amount: $129,450 Purpose: outside agency funding and emergency assistance <br /> programming Budget Code(s): 10403020-630000 Vendor # 12616 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1, <br /> 2019 Approved by Board Yes®No❑ Agenda Date:June 18,2019 <br /> This agreement is approved as to to DocuSigned by: ltent: <br /> Department Director's Si natur � Sf¢vu Date: 7/2 3/2019 <br /> p g DAP E198AM455 . - — <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Manazemen# <br /> This agreement is approved for suffiicieni DocuSigned by: irds,specifications,and requirements: <br /> Office of the RiskManagement OfficeQCl$a (4�6 7FDCF0176800408. Date:7/16/2019 <br /> Financial Services <br /> This instrument has been pre-audited ' DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> 4 � 7/24/2019 <br /> Office of the Chief Financial Officer Date: <br /> 7NE5181ACC1409. --••-- — <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: ❑cy: <br /> Office of the County Attorney 4035CB8304CA4M Date:7/24/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion Q Dolloyd@orangecountync.goy <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 /> 7 <br />