HomeMy WebLinkAboutR 2015-366-E HR - Gallagher Benefit Services for consulting services DocuSign Envelope ID:95F765C9-AE95-41C0-9136-42808BDB92C8
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Gallagher Benefit Services Party/Vendor Contact Person: Eric Black Contact Phone: 704-
971-2553 Party/Vendor Address: 4064 Colony Road Suite 450 City Charlotte State: NC Zip: 28211
Department: Human Resources Amount: $105,000.00 Purpose: Consulting Services Budget Code(s):
70395210/999999 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 3/4/15 Approved by Board Yes®No
❑ Agenda Date:3/3/15
This agreement is approved as to tec 9 fiWwAl&d content:
j�MJA,J-& f jaVl�,l,4(hMCW 7/15/2015
Department Director's Signature Date:
�986289F01 ...
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 Agri "" t''andards,specifications,and requirements:
c7mc7/22/2015
Office of the Risk Management Officer F9176800498... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
�atn�, �,alA�blti 7/22/2015
Office of the Chief Financial Officer e FtF+aa� Date:
Legal Services
This agreement is approved as to egaQ°fti4liYt1 sufficiency:
Office of the County Attorne Date: 7/28/2015
Y an2sr.aaanarnana
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
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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