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DocuSign Envelope ID:789E95FE-A609-46D6-AEOC-EDB3D189AD23 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Exchange Club's Family Center in Alamance County, dba Exchange Club's Family Center of <br /> the Central Piedmont Party/Vendor Contact Person: Sarah Black Contact Phone: 336-227-5601 Party/Vendor <br /> Address: 200 N. Main Street City Graham State: NC Zip: 27253 Department: Social Services Amount: $13,464 <br /> Purpose: Outside Agency Funding: Parent Aide Program & Children's Parent Program Budget Code(s): 10400120- <br /> 63000 Vendor#65197 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one) New ❑ Renewal ® Amendment ❑ Effective Date July 1, 2020 Approved by Board Yes® No❑ <br /> Agenda Date: June 10,2020 <br /> This agreement is approved as to to oaiufftrM Wnd content: <br /> Department Director's Signature N" (,hsf6a, Date:111512020 <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 standards, specifications, and requirements: <br /> Q�tSa r,bVl�t,f.,{fb 11/5/2020 <br /> Office of the Risk Management Officer �e Date: <br /> Financial Services <br /> This instrument has been pre-audited ii rdTeDmaftW Pequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:11/6/2020 <br /> Legal Services <br /> This agreement is approved as t at 9�,Ahd sufficiency: <br /> Office of the County Attorney 4-q Date;11/6/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@0Tan ecountync.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 />