2021-182-E Finance-Center for Community Self-Help outside agency agreement

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DocuSign Envelope ID:480516C3-5BA1-4964-B7C5-9AA440382DBF ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Center for Community Self-Helms Party/Vendor Contact Person: Lois DeLoatch Contact Phone: 919-313-8531 Party/Vendor Address: 301 W. Main Street City Durham State:NC Zip: 27701 Department: Finance& Administrative Services Amount: $50,000 Purpose: FY 2020-21 Outside Agency/Human Services Performance Agreement Budget Code(s): 10495050-710015 Vendor#801986(N/A if new vendor)Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New®Renewal❑Amendment❑Effective Date 7/l/2020 Approved by Board Yes®No❑Agenda Date: 6/16/2020 This agreement is approved as to to n-1&f d?T?P9hd content: Department Director's SignatureLf�i(A S%bw Date: 1/27/2021 1► g am�C.Fn9Fnm Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficienc o r eystandards,specifications,and requirements: &A, (mu ffb 2/9/2021 Office of the Risk Management Officer � F91768e0498... Date: Financial Services This instrument has been pre-audited i e4fMRVPf iluired by the Local Government Budget and Fiscal Control Act: lq'-N '� 2/11/2021 Office of the Chief Financial Officer 7n4Fs1A1acc14n11 Date: Legal Services This agreement is approved as to lPl'f&MrAhYl sufficiency: Office of the County Attorney Date: 2/11/2021 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollP_oran eg countync. oovv The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Center for Community Self-Help Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 1121