HomeMy WebLinkAboutR 2015-125-E ES - Law Enforcement Services, Inc. (LESI) for online personal history questionaire, post offer psychological evaluations DocuSign Envelope ID:68F4D2C0-E330-423E-BCO2-F830CC1A8435
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Law Enforcement Services,Inc. (LESI), Party/Vendor Contact Person: Ellen Cutler Contact
Phone: 336-852-6902 Party/Vendor Address: 3409-A West Wendover Ave. City Greensboro State: NC Zip:
27407 Department: OCES/Communications Amount: 4,500 Purpose: Online Personal History Questionaire and
Post Offer Psychological Evaluations Budget Code(s): 10755020-630000 Vendor #N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑
Effective Date March 1,2015 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to tec faatweaagl content:
3� .�� 2/5/2015
Department Director's Signature Date:
Information Technolo0es
(Applicable only to harcAvar•e/softinare 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 grgjNq b,4andards,specifications,and requirements:
&A,
Y
Office of the Risk Management Officer lb Date. /5/2015
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
At �""4""'bin. 2/5/2015
Office of the Chief Financial Officer C Date:
Legal Services
This agreement is approved as to 1 D&PmuAdysufficiency:
Office of the County Attorney 44A4"\°�U` Date: 2/5/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,orangecoumtync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date: