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DocuSign Envelope ID:A34B2CFC-96EE-4C57-AD58-0688EDA1 C61 0 <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: HR&R <br /> Amount: $3,000 Purpose: Provide Human Relation Commissioners with local and federal Fair Housing Training and <br /> Commissioner Training as well as provide Fair Housing consulting services to Human Rights&Relations staff Budget <br /> Code(s): 30460020-790006-71300 Vendor#65576 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ❑ Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date February 1,2021 Approved by <br /> 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 2/26/2021 <br /> Department Director's Signature hW_ 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 insura gpaq lby_specifications,and requirements: <br /> Office of the Risk Management Officer aUSA. (,bV�t 6 Date:2/26/2021 <br /> -9176800498 <br /> Financial Services <br /> This instrument has been pre-audited in the manne bJgthe Local Government Budget and Fiscal Control Act: <br /> 2/26/2021 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suf cie88 Signed by: <br /> Abut, Atari, Tmo 3/1/2021 <br /> Office of the County Attorney 07--------------- 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 />