Orange County NC Website
DocuSign Envelope ID: 1F33BBE6-D8AB-49AC-9D14-C863B35C1295 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Deanie Anyan we Party/Vendor Contact Person: Deanie Anngwe Contact Phone: 410-900- <br /> 9561 Party/Vendor Address: 101 Misty Woods Cir, Apt V City Chapel Hill State: NC Zip: 27514 Department: <br /> Housing and Community Development Amount: NTE $5,000 Purpose: Anti-Racist Consultant Budget Code(s): <br /> 10460120-630000-95020 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 2/23/21 Approved by Board Yes <br /> ❑No® Agenda Date:N/A <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 pr' t&&AGg jgon of the agreement: <br /> wtl�.A. Sl SVI 2/24/2021 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or i°wPaMi48hubject 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: This contract is an extension of a prior contract that ended December 30,2020.The contractor is a graduate <br /> student,and due to her class work load,some of the tasks for this project needed to extend into January/February 2021. <br /> The project is now complete,but we need to execute this contract extension in order to ensure she is paid for her work. <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 insurance standards,specifications,and requirements: <br /> DocuSigned""by:''� <br /> Q�SA, <br /> Office of the Risk Management Office (hnulTb Date: 2/24/2021 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in theM4%QbVquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer r_r;-_MDate: 2/26/2021 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorney3/1/2021 <br /> aln.U.t. L �SLb Date: <br /> 079A4D525COF4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 4 <br />