R 2017-224-E Housing - NCRC for Fair Housing Case Processing and technical assistance

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DocuSign Envelope ID:67F70E5C-F1 D6-4860-9998-AB42B0F9917F ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: NCRC Party/Vendor Contact Person: Stella Adams Contact Phone: 202-464-2729 Party/Vendor Address: 740 15th Street,NW, Suite 400 City Washington State: DC Zip: 20005 Department: HHRCD Amount: $5,000 Purpose: Fair Housing Case Processing and Technical Assistance Budget Code(s): 10460020 630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes No Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signatur 4 _kr,,",_ Date: 4035CB8304CA4A9... 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: Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Office c I t 1Z) aa,e Date: 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: ocuSigned by: Office of the County Attorney E ikAAA, Aura. -Ste, Date: 079A4D525C0F4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @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 2/17 4