HomeMy WebLinkAboutR 2014-573 HR - Job Ready Services, LLC for the WorkSTEPS Testing Program for Workplace Fitness For Duty and Functional Capacity Testing for Certain Work Groups $15,000DocuSign Envelope ID: Al E64657- B4BC- 4CBD- BBDE- 98475BE11255
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ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Job Ready Services Party/Vendor Contact Person: Debra Lord Contact Phone: 919 - 256 -1400
Party /Vendor Address: 2300 Westinghouse Blvd, Suite 107 City Raleigh State: NC Zip: 27604 Department:
Amount: $15,000 Purpose: Workplace Fitness For Duty and Functional Capacity Testing For Certain Work Groins
Budget Code(s): 10250020/630000 Vendor # 62027 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑
No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date September 1, 2014
Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to tec cRiT5' law'ii,cooAt/e�nt:
12/2/2014
Department Director's Signature ,,,8l2rc)F014RF 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
Risk Management
Date:
This agreement is approved for sufficiencCA h%stoa standards, specifications, and requirements:
US& r,6vvt,e b 12/2/2014
Office of the Risk Management Officer zE Date:
Financial Services
This instrument has been pre - audited in a fl nt Budget and Fiscal Control Act:
� tiizti
Office of the Chief Financial Officer Date: 12/2/2014
E982FraaCNu4ad
Legal Services
This agreement is approved as to sufficiency:
[ 4"id Office of the County Attorney1 Date: 12/4/2014
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgorangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/14 4
Date: