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DocuSign Envelope ID:94DODA4A-83C1-42A4-8FB2-44BO273OE7D2 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Exchange Club's Family Center in Alamance County Party/Vendor Contact Person: Sarah <br /> Black Contact Phone:336-227-5601 PartyNendor Address:200 N.Main Street City Graham State:NC Zip: 27253 <br /> Department:Social Services Amount:$13,464 Purpose:Outside Agency Funding:Parent Aide Program&Children's <br /> Parent Program Budget Code(s): 10400120-63000 Vendor # 65I97 (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 te( DouuSigned by: t: <br /> Department Director's Signature !1� Date:10/22/2019 <br /> C7177FA9443�4C3. <br /> Information Technoloeies <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 Management <br /> This agreement is approved for sufficienc 'Docusigned by: ' ' rds,specifications,and requirements: <br /> aUS& Cbl^ln.t 6 10/17/2019 <br /> Office of the Risk Management Office 7F❑CFs17e800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> 4 10/22/2019 <br /> Office of the Chief Financial Qfficerlr7NE5181ACC1409. Date: <br /> Leval Services <br /> This agreement is approved as t DocuSigned by: ley: <br /> 10/22/2019 <br /> Office of the County Attorney, 4035CB8304CA4A0 _ . Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,orangecountync.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 /> The Exchange Club's Family Center in Alamance County <br /> Orange County Outside Agency Performance Agreement Page 6 of 9 <br /> Rev. 7118 <br />