HomeMy WebLinkAboutR 2014-578 Aging - UNC Hospitals - Agreement between Orange County and UNC Hospitals for Wellness Coordinator support $25,000 ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: LJNC Hospitals Party/Vendor Contact Person: Susan Blalock Contact Phone: 984-974-1155
Party/Vendor Address: 211 Friday Center Drive, Suite G021 City Chapel Hill State: NC Zip: 27517
Department: Agjqg Amount: $25,000 Purpose: Wellness Coordinator support Budget Code(s): 294303 Vendor#
30892 (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 and content:
Department Director's Signature Date: X2--f
0
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
This agreement is approved for sufficiency of insurance standards,specifications, and requireme DEC -9 2014
Office of the Risk Management Officer an_ Date: y
tz1°1 y
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 C'`1�V"""�w /J Date:
Legal Services
This agreement is approved as to legal f and su cie cy:
Office of the County Attorney Date: 1 '
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: