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DocuSign Envelope ID:4C8A9BFE-96CE-48BB-857E-7E4OF92COF02 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Blair Kelley Party/Vendor Contact Person: Blair Kelley Contact Phone: 919.513.2225 <br /> Party/Vendor Address: 1303 Crimson Creek Drive City Durham State:NC Zip: 27713 Department: Human Rights& <br /> Relations Amount: $1,000.00 Purpose: Services as a keynotepeaker for Pauli Murray Awards 2019 Budget Code(s): <br /> 10460020-790005 Vendor# 65529 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date February 24, 2019 Approved by Board <br /> Yes❑No❑ Agenda Date:February 24,2019 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> Do �cuSigned by: <br /> 2/5/2019 <br /> Department Director's Signature ; 4 Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <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 sufficiency of insurance stan 9,osffCvQ 4ations,and requirements: <br /> QuSa, CbO 2/5/2019 <br /> Office of the Risk Management Officer 7FncFg47aann4nA Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner requir Vothe i,au*1 Government Budget and Fiscal Control Act: <br /> s�mr !soc 2/5/2019 <br /> Office of the Chief Financial Officer �� Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency DocuSigned by: <br /> QliU41- A&Ayit- �SCb 2/6/2019 <br /> Office of the County Attorney _o.p Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 4 <br />