HomeMy WebLinkAboutR 2019-116 Health - Race for Equity equitable outcomes DocuSign Envelope ID:45EF61F8-8C51-4DEC-AE81-4360E25C8CF2
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Race for Equity Party/Vendor Contact Person: Deitre Epps Contact Phone: 410-262-3470
Party/Vendor Address:2237 Brisbane Woods Way City Cary State:NC Zip: 27518 Department: Health Amount:
13 500 Purpose: Training and Facilitation: Achieving Equitable Outcomes Budget Code(s): 10412020-630000-
71460 & 71456 Vendor#65336 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 2-22-19 Approved by Board Yes❑
No❑ Agenda Date:
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:
DocuSigned by:
6WKn Aan.A, S&WAkf 2/22/2019
Department Director's Signature Date:
3C16F2D09E3445F.
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 sufficienc -oocusigned by: rds,specifications,and requirements:
Office of the Risk Management Officer 7FDCF91768004M.�USa LpVlrt.��b Date:2/22/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
A " 2/25/2019
Office of the Chief Financial Officer 7DaE5aa1ACC1409. Date:
Legal Services
This agreement is approved as t DocuSigned by: {�
9WAk f, l�5� 2/25/2019
Office of the County Attorney 079A4D525C0F4Fa. 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
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