HomeMy WebLinkAboutR 2019-059 Human Rights Relations - Blair Kelly keynote speaker DocuSign Envelope ID:4C8A9BFE-96CE-48BB-857E-7E4OF92COF02
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Blair Kelley Party/Vendor Contact Person: Blair Kelley Contact Phone: 919.513.2225
Party/Vendor Address: 1303 Crimson Creek Drive City Durham State:NC Zip: 27713 Department: Human Rights&
Relations Amount: $1,000.00 Purpose: Services as a keynotepeaker for Pauli Murray Awards 2019 Budget Code(s):
10460020-790005 Vendor# 65529 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract
Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date February 24, 2019 Approved by Board
Yes❑No❑ Agenda Date:February 24,2019
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
Do �cuSigned by:
2/5/2019
Department Director's Signature ; 4 Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
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 sufficiency of insurance stan 9,osffCvQ 4ations,and requirements:
QuSa, CbO 2/5/2019
Office of the Risk Management Officer 7FncFg47aann4nA Date:
Financial Services
This instrument has been pre-audited in the manner requir Vothe i,au*1 Government Budget and Fiscal Control Act:
s�mr !soc 2/5/2019
Office of the Chief Financial Officer �� Date:
Legal Services
This agreement is approved as to legal form and sufficiency DocuSigned by:
QliU41- A&Ayit- �SCb 2/6/2019
Office of the County Attorney _o.p Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4