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R 2019-265 Health - Race for Equity contract amendment
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R 2019-265 Health - Race for Equity contract amendment
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Last modified
12/10/2019 12:57:42 PM
Creation date
5/9/2019 8:48:26 AM
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Contract
Date
5/6/2019
Contract Starting Date
2/20/2019
Contract Ending Date
6/30/2019
Contract Document Type
Routing
Amount
$0.00
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2019-265-E Health - Race for Equity contract amendment
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2019
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DocuSign Envelope ID:5F8396FC-022E-425E-BB1D-ACOB1682475E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Race for Equity Party/Vendor Contact Person: Deitre Enos Contact Phone: 410-262-3470 <br /> Party/Vendor Address: 2237 Brisbane Woods Way City Cary State: NC Zip: 27518 Department: Health Amount: LO <br /> Purpose: Training and Facilitation: Achieving_Equitable Outcomes Budget Code(s): 10412020-630000-71460 & 71456 <br /> Vendor#65336 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ® Effective Date 5-6-19 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> projehas not been initiated prior tc - --- - ----- t: <br /> ct P OceuSigned dy: <br /> EA�I�.G� <br /> Department Director's Signature S�_Wof Date: 5/6/2019 <br /> 3C16F2D09E3445F. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficient Wocusigned by: rds, specifications,and requirements: <br /> aUsa ( Q� 6 5/7/2019 <br /> Office of the Risk Management Office 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited it DocuSigned by: the Local Government Budget and Fiscal Control Act: <br /> 4 � 5/8/2019 <br /> Office of the Chief Financial Officer 7oaE51s1ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as ti ' DocuSigned by: { <br /> ��'1' ft �' l�S� 5/8/2019 <br /> Office of the County Attorney 079A4D525c0F4FB. 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 Dec 2018 <br />
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