HomeMy WebLinkAboutR 2015-115-E DEAPR - Triangle Orthopaedic Associates, P.A. - Naming Rights and Sponsorship Agreement DocuSign Envelope ID:85F8B674-BOBO-49DD-905E-B4A3D145C169
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Triangle Orthopaedic Associates Party/Vendor Contact Person: Chris Adkins Contact
Plione: Party/Vendor Address: 120 William Petui Plaza City Durham State: NC Zip: 27704
Department: DEAPR Amount: $40,000.00 Purpose: Partnership Budget Code(s): 20026 Vendor# (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ NoX Contract Type: (Check one) New ❑ Renewal X
Amendment ❑ Effective Date 81112014 Approved by Board Yes❑NoX Agenda Date:
This agreement is approved as to technical form and content:
DocuSignedd by:
Department Director's Signature V� tOM,0L Date:
611CFA1D507A495...
Information Teehmologies
(Applicable only to har•dtiva)-elsoftivare put-chases or•related selvrces)This agreement has been reviewed and is
approved as to hnformation 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:
---DocuSigned by:
Office of the Risk Management Officer ausax, r,6m,&b Date:
7FDCF9176800498...
Financial Services
This hIst'Umellt has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
---DocuSigned by:
Office of the Chief Financial Officer �Q � �V`R ti Date:
2F982EC44C2C444...
Legal Services
This agreement is approved as to legal form and sufficiency:
DbocuSigned by:
Office of the County Attorney otxfs Date:
EAAMKEMA8465...
Cleric to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dot loyd@oratigecottiitytic.gov
The following signature block is for hard copies only and is not requh-ed for Docusign contracts:
Office of the Cleric to the Board Date: