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DocuSign Envelope ID:650510CC-1 E40-4E7E-A21 D-3B96055FB69D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> i <br /> Party/Vendor Name_Orange County Living Wage Party/Vendor Contact Person: Susan Romaine Contact Phone: 919- <br /> 619-3408 Party/Vendor Address: P.O. Box 1502 City: Carrboro State: NC Zip: 27510 Department: Human <br /> Rights&Relations Amount: $18,588.00 Purpose: Outside Agency Performance Agreement Budget,Code(s): Vendor <br /> #801564 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)New❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: July 1,2020 <br /> to June 30,2021 <br /> i <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on j <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: i <br /> F <br /> Department Director's Signature Date: 4/23/2021 <br /> Agreements for emergency services or repair are not su gee o4 e a�ove 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 /> i <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance .§1*cifications, and requirements: <br /> Office of the Risk Management Officer auSa Cbvvulib Date: 4/25/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner re q ' d*� €dlbmcal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 4/26/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and suf A44etkeySigned by: <br /> Office of the County Attorney 9"'(1 L T6Slb Date: 4/26/2021 <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 /> Orange County Outside Agency Performance Agreement Page 6 of 9 <br /> Rev. 1121 <br />