HomeMy WebLinkAboutR 2017-101-E Health - Kathleen Crabbs Clark to facilitate racial equity framework & analysis DocuSign Envelope ID:5C8EBC60-867E-4666-9FB7-E0946CA7EDAE
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Kathleen Crabbs Clark Party/Vendor Contact Person: Kathleen Crabbs Clark Contact Phone:
919-923-0932 Party/Vendor Address: 256 Rubrum Drive City Hillsborough State: NC Zip: 27278 Department:
Health Amount: $4,000 Purpose: Facilitate racial equity framework & analysis Budget Code(s): 10410020-680030
Vendor# 64339 (N/A if new vendor) Vendor is a BOCC consultant'? Yes ❑ No Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date 4-1-17 Approved by Board Yes No Agenda Date:
This agreement is approved as to to ,fi° Iffi '��d� �coo1n� tent:
'Von tuA ( 3/7/2017
Department Director's Signature F14Fczrnon�4nF... Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficien n Ags�ioa :standards, specifications, and requirements:
USA. rbVVUt16 3/7/2017
Office of the Risk Management Office 7FDCFQ17e800408 Date:
Financial Services
This instrument has been pre-audited i t eD i N Ttquired by the Local Government Budget and Fiscal Control Act:
��n 3/7/2017
Office of the Chief Financial Officer 7D4E5181ACC1409... Date:
Legal Services
This agreement is approved as t c d suf iency:
Office of the County Attorney Date: 3/$/2017
�,1 y 079A4D525C0F4FB...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 2/17 5