HomeMy WebLinkAboutR 2015-591-E Health - Elizabeth Snyder-Fickler for consulting services for FSA DocuSign Envelope ID:48749442-9012-42A2-8713-E68E9941E952
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Elizabeth Snyder-Fickler Party/Vendor Contact Person: Elizabeth Snyder-Fickler Contact
Phone: 919-668-3288 Party/Vendor Address: 103 Ashley Brook Ct. City C
M State: NC Zip: 27513 Department:
Health Amount: $3,000 Purpose: Consulting services for FSA Budget Code(s): 10412020-630000-71453 Vendor 4
63479 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
Renewal❑ Amendment ❑ Effective Date 10/22/15 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to c° T"W hy, id c ntent:
t vVi 11/10/2015
Department Director's Signature �aG�onn�c.GSSas 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 sufficienc riaixv„standards,specifications,and requirements:
Q�ASA r,6vvte tt0 11/10/2015
Office of the Risk Management Officer � aeaa Date:
Financial Services
This instrument has been pre-audited i D9 iA%e t Wquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Li Date: 11/10/2015
ear
Legal Services
This agreement is approved as to Ofb?W .sufficiency:
Office of the County Attorney 4k 1 Date: 11/10/2015
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 4