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DocuSign Envelope ID: D2794395-FEOE-49D6-B73F-057E144073E3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Orange County Rape Crisis Center and NC Coalition Against Sexual Assault Party/Vendor <br /> Contact Person: Rachel Valentine/Monika Johnson Hostler Contact Phone: 919-914-3111/919-871-1015 <br /> Party/Vendor Address: 1506 E. Franklin St, Suite 200/811 Spring Forest Rd., Suite 100 City Chapel Hill/Raleigh <br /> State: NC Zip: 27514/27609 Department: CJRD/LRC Amount: $0 Purpose: MOU for Free Support Services for <br /> Reentrants Budget Code(s):N/A Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 1/28/21 Approved by Board <br /> Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature (AAi w FtaLvyw Date: 2/23/2021 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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 N/A Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of in �,g�64g4prds,specifications,and requirements: <br /> Office of the Risk Management Officer Q�tSa rbV1n�{fb Date: 2/26/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the crmgwratl by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 2/26/2021 <br /> Legal Services <br /> This agreement is approved as to legal for f&%@Wt0ncy: <br /> p� 3/1/2021 <br /> Office of the County Attorney \ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 /> Revised 07/20 <br />