HomeMy WebLinkAboutR 2015-102-E Health - Wake Med Health and Hospitals & Wake Medical Laborartory Consultants for lab testing DocuSign Envelope ID: 72574FBA-38BB-482F-A711-18C4CFEC2EDF
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: WakeMed Health and Hospitals & Wake Medical Laboratory Consultants Party/Vendor
Contact Person: Kerry L. Hughes Contact Phone: 248-763-8504 Party/Vendor Address: 3000 New Bern Avenue
City Ralei h State: NC Zip: 27610 Department: Health Amount: $25,000 Purpose: Laboratory Testing Budget
Code(s): 10414020-630000 Vendor # NIA (NIA if new vendor) Vendor is a BOCC consultant? Yes [:] No®
Contract Type: (Check one) New ® Renewal [:] Amendment ❑ Effective Date 11112015 Approved by Board
Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Si nature
(AAA14V �� Date:
1/1/2015
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C9EMDOFC6B545E...
Information Technologies
(Applicable only to hardwarelsoftware 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 ofua u ga��y standards, specifications, and requirements.
F USA, 6bVVdb . 1/2/2015
Office of the Risk Management Office Date.
7FDCF91 76800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: IDocuSigned by:
1/2/2015
Office of the Chief Financial Officer Date:
...
Legal Services
This agreement is approved as to a4.forpidyd sufficiency:
1/2/2015
Office of the County Y Attorne � Date:
L4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion , Do11gjd(c_i)orangecountync.go V
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14
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