HomeMy WebLinkAboutR 2014-535 Health - Benjamin Beaton - Amendment to Services Agreement ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Benjamin Beaton Party/Vendor Contact Person: Contact Phone: 517-740-6785
Party/Vendor Address: 107 James Helen Ct.. City Willow Spring State: NC Zip: 27592 Department: Health
Amount: Purpose: Budget Code(s): Vendor # 59063 (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 c to
Department Director's Signature Date:
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 D (1
This agreement is approved for sufficiency of insurances standards,specifications,and requirements OCT 1 6 2014
Office of Risk Management 1 � (� o _ - Date 1
tall(
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: 11
Office of the Chief Financial Officer Date: ( b
�lY
Legal Services
This agreement is approved as to legal fo an suffic n y
Office of the County Attorney Date: l "W .
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date: