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DocuSign Envelope ID:41`676C90-21 E4-4097-A8AC-0087D34EB013 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Meals on Wheels of Orange County Party/Vendor Contact Person: Rachel Sobel Bearman <br /> Contact Phone: 919-942-2948 Party/Vendor Address: 632 Laurel Hill Road City Chapel Hill State: NC Zip: 27514 <br /> Department: Aging Amount: 54809 Purpose: Budget Code(s): 10495050-719053 Vendor# 800080 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date 7/1/2021 Approved by Board Yes❑No❑ Agenda Date: <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 /> IL <br /> ned by: <br /> fi�� 10/22/2021 <br /> Department Director's Signature4FA Date: <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency-f-inawgwaWandards,specifications,and requirements: <br /> Office of the Risk Management OfficerF&a rbVlnt,{fb Date:10/22/2021 <br /> Financial Services <br /> This instrument has been pre-audited in tocomquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ('� Date: 10/22/2021 <br /> aa€s7 <br /> Legal Services <br /> This agreement is approved as to 1 d'�ganlisufficiency: <br /> ak L Awil, Tma 10/24/2021 <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 /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev.10121 <br />