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DocuSign Envelope ID:2A6C2779-DD90-42AA-8E9F-5C9900BBFA38 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Habitat for Humanity of Orange County Party/Vendor Contact Person: Jennifer Player Contact <br /> Phone: 919-932-7077 Party/Vendor Address: 88 Vilcom Center Dr, Suite L110 City: Chapel Hill State:NC Zip:27514 <br /> Department: Finance & Administrative Services Amount: $51,313 Purpose: FY 2020-21 Outside Agency/Human <br /> Services Performance Agreement Budget Code(s): 10495050-710015 Vendor#800020(N/A if new vendor)Vendor is <br /> a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date <br /> 7/l/2020 Approved by Board Yes®Non Agenda Date: 6/16/2020 <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> 2/24/2021 <br /> Department Director's SignatureEAD42BO75CF42E4D7 <br /> pt it& S A V, Date: <br /> ... <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 insurance standards,specifications,and requirements: <br /> DocuSigned""by:''� <br /> Office of the Risk Management OfficerPCs& (hnullb Date: 2/25/2021 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial OfficerF +� Date: 2/25/2021 <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le al form and sufficiency: <br /> o.R.gned by: <br /> Office of the County Attorney -4 1 Date: 2/26/2021 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion @ singersoll&oran e�ync.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 /> Habitat for Humanity of Orange County <br /> Orange County Outside Agency Performance Agreement Page 6 of 9 <br /> Rev. 1121 <br />