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DocuSign Envelope ID:5F8396FC-022E-425E-BB1D-ACOB1682475E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Race for Equity Party/Vendor Contact Person: Deitre Epps Contact Phone: 410-262-3470 <br /> Party/Vendor Address:2237 Brisbane Woods Way City Cary State:NC Zip: 27518 Department: Health Amount: <br /> 13 500 Purpose: Training and Facilitation: Achieving Equitable Outcomes Budget Code(s): 10412020-630000- <br /> 71460 & 71456 Vendor#65336 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 2-22-19 Approved by Board Yes❑ <br /> No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 6WKn Aan.A, S{ WAkf 2/22/2019 <br /> Department Director's Signature Date: <br /> 3C16F2D09E3445F. <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 <br /> was 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 sufficienc -oocuSig/Pn�ed by: rds,specifications,and requirements: <br /> Office of the Risk Management Officer 7�USa �,oVln.��b FDCF91768004M. Date:2/22/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> A " 2/25/2019 <br /> Office of the Chief Financial Officer 7D4E5aa1ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: {� <br /> 9WAk f, l�5� 2/25/2019 <br /> Office of the County Attorney 079A4D525c0F4Fa. 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 <br /> 8 <br />