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HomeMy WebLinkAboutR 2015-232-E Health - James Wise for TRU Advisor DocuSign Envelope ID: E1C1B1A3-C7B9-4372-AD42-6B76D742DF65 ORANGE COUNTYDEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: James Wise Party/Vendor Contact Person: James Wise Contact Phone: (919) 929-2106 x41270 Party/Vendor Address: 2324 Woodbury Drive City Hillsborough State: NC Zip: 27278 Department: Health Amount: $500 Purpose: TRU Advisor Budget Code(s): 10-4020-20-630000-71454 Vendor # 57567 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date July 1, 2015 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:_________ Revised 10/14 5