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DocuSign Envelope ID: B3D8E8FB-78D9-4B50-80E2-1077055FA40B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Volunteers for Youth, Inc. Party/Vendor Contact Person: Susan Worley Contact Phone: 919- <br /> 967-4511 Party/Vendor Address: 205 Lloyd Street, Suite 103 City Carrboro, State: NC Zip: 27510 Department: <br /> Finance & Administrative Services Amount: $9,289 Purpose: FY 2020-21 Outside Agency/Human Services <br /> Performance Agreeement Budget Code(s): 10495050-710015 Vendor# 9869 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> 7/l/2020 Approved by Board Yes®Nor-1 Agenda Date: 6/16/2020 <br /> This agreement is approved as to technical for[CA�,GocuSigned by: <br /> F."'. <br /> Department Director's Signature Date: 1/8/2021 <br /> 27D78E8EFC51493... <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 inr __o__s ned__A_ --cifications,and requirements: <br /> aUS& cbvw{�6 1/8/2021 <br /> Office of the Risk Management Officer Date: <br /> 7F6CF817E800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner oocuSigned by-: - -overnment Budget and Fiscal Control Act: <br /> 1/9/2021 <br /> Office of the Chief Financial Officer Date: <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and su OocuSigned by: <br /> 1/11/2021 <br /> Office of the County Attorney 4035CB8304CA4M... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Allen Coleman upon completion @ acoleman@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 />