HomeMy WebLinkAboutR 2015-140-E Finance - Maximus Consulting Services, Inc. for professional consultation services DocuSign Envelope ID: 744F8ADB-CD3C-429C-BA9E-C4FEEC31A417
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: MAXIMUS Consulting Services,Inc. Party/Vendor Contact Person: Jason Jennings Contact
Phone: 804-323-3535 Party/Vendor Address: 808 Moorefield Park Dr., Suite 205 City Richmond State:VA Zip:
23236 Department:Finance and Administrative Services Amount: $27,000.00 Purpose: Development of
Central Services Cost Allocation plan, prepare indirect cost proposals, negotiate with state or federal government,
prepare ES Medicaid cost report Budget Code(s): 10230020-630000 Vendor # (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ NoX❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment
❑ Effective Date Approved by Board Yes❑NoX❑ Agenda Date:
This agreement is approved as to technical fo 6VdGQatgPt:
Department Director's Signature �albin, Date:2/21/2015
232DFFC2CFA847B...
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:
DocuSigned""by:
''1L
Q�As& r,6vvt,e b 2/22/2015
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
2/21/2015
Office of the Chief Financial Officer Ep.,� blti Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form anc�§af�£gr�eggj.y:
Office of the County Attorney , bLvu otxfs Date: 2/23/2015
EAA3D33ED8A8465...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLvorangecoun nc.gov
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