HomeMy WebLinkAboutR 2014-553 DSS - University of North Carolina Hospitals to provide UNC-CH the services of one full time Income Maintemance Casework and one part-time supervisor providing up to 10 hours of supervision a week $49,587 55zis
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: UNCH Party/Vendor Contact Person: Chris Ellington Contact Phone: 919-966-7029
Party/Vendor Address: 101 Manning Dr City Chapel Hill State: NC Zip: 27278 Department: DSS Amount:
$49,587 Purpose: The County provide UNCH the services of one full time Income Maintenance Caseworker and
one part-time supervisor providing up to 10 hours of supervision a week Budget Code(s): Vendor#
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ❑
Renewal ® Amendment ❑ Effective Date 07/01/2014 Approved by Board Yes❑ No[] Agenda Date:
This agreement is approved as to technical form d content:
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 Chief Information Officer Date:
Risk Management
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This agreement is approved for sufficiency of insurance standards, specifications,and requuOffice of the Risk Management Officer � Date:
Financial Services
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 �, f U[�- Date: 1 y
ll n
Legal Services
This agreement is approved as to legal and sufficiency:
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran eg countync.gov
The following signature block is for hard copies only and is not required for Docusign contracts: