HomeMy WebLinkAboutR 2019-383 County Mgr - LGBTQ Center of Durham training DocuSign Envelope ID:603A1B64-AD7D-4383-A675-7123B19BOFBF
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: LGBTO Center of Durham Party/Vendor Contact Person: Helena CraQQ
<hcra,aa((d,labtgcenterofdurham.org> Contact Phone: 919-827-1436 Party/Vendor Address: 114 Hunt Street
City Durham State:NC Zip:27701 Department: County Manager-Homeless Programs Amount: $1000.00 Purpose:
Training Budget Code(s): 32470620 680021 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5/28/19 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:
Department Director's Signature lS Date: 6/12/2019
Agreements for emergency services or repair are ME81a128364M - ✓e 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 standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer US& CO A6 Date: 6/2 5/2019
7FDCF91769004M-
Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer � 41.441 Date:
6/25/2019
7NE5181ACC14N-
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney , 6LW K6�C ,fs Date:6/28/2019
EAMD33EMAW5--
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