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DocuSign Envelope ID:4CB52244-A26D-418A-B4AE-8C84440B4D81 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: El Centro Hispano,Inc. Party/Vendor Contact Person:Pilar Rocha-Goldberg Contact Phone:919- <br /> 687-4635 ext.125 Party/Vendor Address: 2000 Chapel Hill Road, Suite 26A City: Durham State: NC Zip: 27707 <br /> Department:Human Rights&Relations Amount:$33,609.00 Purpose: Budget Code(s): Vendor#801399 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal❑ Amendment <br /> ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: July 1,2020 to June 30,2021 <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 /> F <br /> 5/3/2021 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repair are not Su Ject V 0 t re 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 /> ! <br /> Information Technologies <br /> i <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 iris uran Jq�j bWecifications,and requirements: <br /> Q�tSa rbrvu,TTb 5/4/2021 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner r byAlisyLocal Government Budget and Fiscal Control Act: <br /> 5/4/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form ands r Ms�ned by: <br /> Office of the County Attorney L <br /> Qkku ha,iL T�w Date: 5/4/2021 <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 />