Orange County NC Website
Revised 07/20 <br /> <br /> <br />4 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Anderson Luba-Lucas Lecture Management, LLC Party/Vendor Contact Person: <br />Annette Luba-Lucas Contact Phone: 551-482-4500 Party/Vendor Address: 211 East 43rd Street, Suite <br />715 City New York State: NY Zip: 10017 Department: HR&R Amount: <br /> 2,000.00 Purpose: Virtual HRC Community Read Budget Code(s): 10460020-790005 Vendor # <br /> N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New <br /> Renewal Amendment Effective Date Approved by Board Yes No Agenda Date: <br /> <br /> <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 /> <br /> <br />Department Director’s Signature ________________________________________ 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 /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />Formatted: No underline <br />Formatted: Underline <br />Formatted: Font: 10 pt, Font color: Auto <br />Formatted: Font: 8 pt, No underline <br />Formatted: Font: 10 pt <br />DocuSign Envelope ID: 0E9163BE-E9B7-4D82-9EFC-9415E041D922 <br />8/10/2020 <br />8/13/2020 <br />8/13/2020