HomeMy WebLinkAboutR 2014-533 Health - CHICLE - Amendment to Services Agreement 02014-5��
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: CHICLE Party/Vendor Contact Person: Contact Phone: 919-933-0398
Party/Vendor Address101 E. Weaver St., Suite G-1_ City: CarrboroState: NC Zip: 27510 Department: Health
Amount: Purpose: Budget Code(s): Vendor # 43840 (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 technical form and en
Department Director's Signature Date: 1 Z
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 requiremen
Office of Risk Management ��c� _ _ Date: T 1 6 2014
Financial Services By
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer ✓ A 10L Date:
t01 Ito
Legal Services
This agreement is approved as to legal form an sufficiency:
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date: