HomeMy WebLinkAboutR 2014-598 Health - FYI for Youth Engagement Consulting
DocuSign Envelope ID: E6483425-90EC-400B-93D1-E755A7270F4F
ORANGE COUNTYDEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: FYI Party/Vendor Contact Person: Karen Pittman Contact Phone: 202.207.3333 Party/Vendor
Address: 7064 Eastern Avenue, NW City Washington State: DC Zip: 20012 Department: Health Amount: $9,000
Purpose: Youth Engagement Consulting Budget Code(s): 10410020-630000 Vendor # N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment
Effective Date December 29, 2014 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
________________________________________ 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
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office 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
____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form 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@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:_________
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Revised 10/14