Orange County NC Website
Browse       Search
DocuSign Envelope ID:5C8EBC60-867E-4666-9FB7-E0946CA7EDAE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kathleen Crabbs Clark Party/Vendor Contact Person: Kathleen Crabbs Clark Contact Phone: <br /> 919-923-0932 Party/Vendor Address: 256 Rubrum Drive City Hillsborough State: NC Zip: 27278 Department: <br /> Health Amount: $4,000 Purpose: Facilitate racial equity framework & analysis Budget Code(s): 10410020-680030 <br /> Vendor# 64339 (N/A if new vendor) Vendor is a BOCC consultant'? Yes ❑ No Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date 4-1-17 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to ,fi° Iffi '��d� �coo1n� tent: <br /> 'Von tuA ( 3/7/2017 <br /> Department Director's Signature F14Fczrnon�4nF... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficien n Ags�ioa :standards, specifications, and requirements: <br /> USA. rbVVUt16 3/7/2017 <br /> Office of the Risk Management Office 7FDCFQ17e800408 Date: <br /> Financial Services <br /> This instrument has been pre-audited i t eD i N Ttquired by the Local Government Budget and Fiscal Control Act: <br /> ��n 3/7/2017 <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: <br /> Legal Services <br /> This agreement is approved as t c d suf iency: <br /> Office of the County Attorney Date: 3/$/2017 <br /> �,1 y 079A4D525C0F4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 <br />