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DocuSign Envelope ID:269CF7BA-FEC5-460E-9801-97A7901B55AD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Historic Hillsborough Commission Party/Vendor Contact Person: Sarah Parris Contact Phone: <br /> 919-732-7741 Party/Vendor Address: 150E King St City Hillsborough State: NC Zip: 27278 Department: DEAPR <br /> Amount: 9054 Purpose: Outside Agency Budget Code(s): 10695050 710005 Vendor 4 800687 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 7-1-2021 Approved by Board Yes®No❑ Agenda Date: 6-15-2021 <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 /> Department Director's Signature ry } � Date: 1/28/2022 <br /> 67tt,FKN507A i95 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 sewices)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 /> Office of the Risk Management Officer F&& r,OVtnd 6 Date: 1/28/2022 <br /> 1II1-1l bdUU49_.. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer�6Ia Date: 1/31/2022 <br /> �ry ,�o,.a/alto,. <br /> `7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney l 51A Date: 1/31/2022 <br /> `079A4D525COF4FB._ <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contacts 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 />