HomeMy WebLinkAboutR 2015-233-E Health - Maile Williams for TRU Advisor
DocuSign Envelope ID: FBC7C9D0-44AD-4FE6-8090-6C188E4547FE
ORANGE COUNTYDEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Maile Williams Party/Vendor Contact Person: Maile Williams Contact Phone: 919.732.6133
ext. 20067 Party/Vendor Address: 1505 Mountain View Ct. #B City Hillsborough State: NC Zip: 27278 Department:
Health Amount: $500 Purpose: TRU Advisor Budget Code(s): 10-4020-20-630000-71454 Vendor # 62256 (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
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