R 2019-528 Human Rights Relations - ASL Communication Services for Deaf and Hard of Hearing

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DocuSign Envelope ID:AA5BF195-5AE4-4955-AC07-E075A128D351 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Communication Services for Deaf and Hard of Hearin CSDHH Party/Vendor Contact Person: Kelle Owens Contact Phone: 336-2758878 Ext. 7 Party/Vendor Address: 1175 Revolution Dr. Studio 15 City Greensboro State:NC Zip:27405 Department:Human Rights and Relations Amount: $5,000 Purpose:ASL & Transliteration Services Budget Code(s): There is no code in this document because each Department paps for expenses out of their budget as services are utilized. Vendor#52302 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/1/2019 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement; DocuSigned by: Department Director's Signature Date: 7/29/2019 Agreements for emergency services or re 4035CB8304CA4A9 to the above affirmation. if services related to this g Y p... ,, .... .. .441. agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technolo ies (Applicable only to hardwarelsoftware 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` Oacu-ig dy" k --ifications,and requirements: +� Office of the Risk Management Officer - &A, (pyVLtffp 7/29/2019 Date: _ 7FDCF91743800498.. Financial Services This instrument has been pre-audited in the manner required by the Focal Government Budget and Fiscal Control ,Act: DocuSigned by: Office of the Chief Financial Officer S.� obvIc�.hou Date:8/6/2019 7NE5181ACC1409 Legal Services This agreement is approved as to legal form and c,ifrriPnrx DocuSigned by: Qlrtku,6 Office of the County Attorney . hak, J)sa Date: 8/6/2019_ 079A4D525COF4FB. Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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 06/19 10