Orange County NC Website
DocuSign Envelope ID:3D029381-CCBD-4439-8713-AC7FE956E7AC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Emergent Equity Party/Vendor Contact Person: Tina Vasquez Contact Phone: 845-300-6274 <br /> Party/Vendor Address: 6418 Gold Mine Loon City Chapel Hill State: NC Zip: 27516 Department: Coun <br /> Manager(Food Council) Amount: $5,000 Purpose: Racial Equity Coaching Budget Code(s): 30213020 630000 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date March 11, 2022 Approved by Board Yes❑No❑ Agenda <br /> Date: ---For Section XIV.c. contracts only,Approved by Board in Current FY Budget Yes[—]No[—] <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature <br /> �'rawuS VV,4_ Date: 3/10/2022 <br /> Agreements for emergency services or repair a4 ga"ecVlWtke 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 <br /> was 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 insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''� <br /> Office of the Risk Management Officer <br /> riusa, rbvvu,>lb Date: 3/10/2022 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 10�a. Date: 3/10/2022 <br /> 7D4E5181ACC1409... <br /> Leeal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Signed by: <br /> Office of the County Attorney 5-6Z, ot*v s Date: 3/10/2022 <br /> EAA3D33ED8A8465... <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 06/21 <br /> 9 <br />