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DocuSign Envelope ID:7D82E26D-9026-430E-BOE6-CADCB36E7E19 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: S J Adams Consulting Party/Vendor Contact Person: Stella Adams Contact Phone: 919-423- <br /> 4130 Party/Vendor Address: 4128 Cobblestone Place City Durham State: NC Zip: 27707 Department: Human <br /> Rights& Relations Amount: $3,000 Purpose: Provide Human Relations Commission members with local and federal <br /> Fair Housing training and Commissioner training as well as provide Fair Housing consultation services to departmental <br /> staff Budget Code(s): 30460020-790006-71300 Vendor # 65576 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date <br /> September 21,2019 Approved by Board Yes❑Non Agenda Date: <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 /> DocuSigned by: <br /> 1 10/1/2019 <br /> Department Director's Signature Date: <br /> E4035CB8304CA4M <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 insurani Qocusignea by: - itlons,and requirements: <br /> QUS& (,4�6 10/2/2019 <br /> Office of the Risk Management Officer 7FDCF9176800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner rei . Docusigned by: =ment Budget and Fiscal Control Act: <br /> ('`� <br /> Office of the Chief Financial Officer 4 Date: 10/2/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and suffi1g079A4D525C0F4FB_ <br /> D"uSigned by: <br /> wku, !, l vSCbOffice of the County Attorney Date: 10/2/2019 <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 />