HomeMy WebLinkAboutR 2019-265 Health - Race for Equity contract amendment DocuSign Envelope ID:5F8396FC-022E-425E-BB1D-ACOB1682475E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Race for Equity Party/Vendor Contact Person: Deitre Enos Contact Phone: 410-262-3470
Party/Vendor Address: 2237 Brisbane Woods Way City Cary State: NC Zip: 27518 Department: Health Amount: LO
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 5-6-19 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
projehas not been initiated prior tc - --- - ----- t:
ct P OceuSigned dy:
EA�I�.G�
Department Director's Signature S�_Wof Date: 5/6/2019
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 sufficient Wocusigned by: rds, specifications,and requirements:
aUsa ( Q� 6 5/7/2019
Office of the Risk Management Office 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited it DocuSigned by: the Local Government Budget and Fiscal Control Act:
4 � 5/8/2019
Office of the Chief Financial Officer 7oaE51s1ACC1409. Date:
Legal Services
This agreement is approved as ti ' DocuSigned by: {
��'1' ft �' l�S� 5/8/2019
Office of the County Attorney 079A4D525c0F4FB. 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 Dec 2018