HomeMy WebLinkAboutR 2019-528 Human Rights Relations - ASL Communication Services for Deaf and Hard of Hearing DocuSign Envelope ID:AA5BF195-5AE4-4955-AC07-E075A128D351
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Communication Services for Deaf and Hard of Hearin CSDHH Party/Vendor Contact
Person: Kelle Owens Contact Phone: 336-2758878 Ext. 7 Party/Vendor Address: 1175 Revolution Dr. Studio 15
City Greensboro State:NC Zip:27405 Department:Human Rights and Relations Amount: $5,000 Purpose:ASL
& Transliteration Services Budget Code(s): There is no code in this document because each Department paps for
expenses out of their budget as services are utilized. Vendor#52302 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
7/1/2019 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 Date: 7/29/2019
Agreements for emergency services or re 4035CB8304CA4A9 to the above affirmation. if services related to this
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agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
Information Technolo ies
(Applicable only to hardwarelsoftware 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` Oacu-ig dy" k --ifications,and requirements:
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Office of the Risk Management Officer - &A, (pyVLtffp 7/29/2019 Date: _
7FDCF91743800498..
Financial Services
This instrument has been pre-audited in the manner required by the Focal Government Budget and Fiscal Control
,Act: DocuSigned by:
Office of the Chief Financial Officer S.� obvIc�.hou Date:8/6/2019
7NE5181ACC1409
Legal Services
This agreement is approved as to legal form and c,ifrriPnrx
DocuSigned by:
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Office of the County Attorney . hak, J)sa Date: 8/6/2019_
079A4D525COF4FB.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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 06/19
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