HomeMy WebLinkAboutR 2014-531 Health - Saw San Mya - Amendment to Services Agreement ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Saw San Mya Party/Vendor Contact Person: Contact Phone: 919-360-4309
Party/Vendor Address: 110 Fan Branch Lane City Chapel Hill State:NC Zip:27516 Department: Health Amount:
Purpose: Budget Code(s): Vendor # 57752 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date
10/17/2014 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic form and c to
Department Director's Signature Date: 14M4
Information Technologies -
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Director of Information Technology Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirf(� M 2 Office of Risk Management Date: 1 s ZU14 Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: n� -7
Office of the Chief Financial Officer "` �" Date: I� 1 l 11
Legal Services
This agreement is approved as to legal form n ufficiency:
Office of the County Attorney Date: 10 —t 116r`
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date: