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DocuSign Envelope ID: F807B28A-EF75-498C-9EC8-5863109A5978 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Compass Center for Women and Families Party/Vendor Contact Person: Ardith Burkes Contact <br /> Phone: 919-225-3345 Party/Vendor Address: PO Box 1057 City Chapel Hill State: NC Zip: 27514 Department: <br /> CJRD Amount: $94,801 Purpose:Outside Agency Budget Code(s): 10495050-719063 Vendor#800019 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment <br /> ❑ Effective Date 7/1/21 Approved by Board Yes®Nor-1 Agenda Date: 6/15/21 <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 /> 10/13/2021 <br /> Department Director's Signatur �'^'`�u Date: <br /> Agreements for emergency service 476ffil% fi@t 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''ll� <br /> Office of the Risk Management Office auSa rbvvu tTb Date:10/13/2021 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in theDii9 ea by quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 10/13/2021 <br /> (� '�"�— Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to f%Wd*sufficiency: <br /> y y abtlnL MAVIt. �SCD <br /> Office of the Count Attorney Date:10/20/2021 <br /> 079A4D525COF4FB... <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 7 of 10 <br /> Rev.10121 <br />