HomeMy WebLinkAboutR 2015-623-E Health - Juliet Sheridan for design/productions of GIS Health maps DocuSign Envelope ID:2FC19A31-7154-43E6-89A2-A0B1 CCA5DD4D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Juliet Sheridan Party/Vendor Contact Person: Juliet Sheridan Contact Phone: 803-622-6812
Party/Vendor Address: 400 Davie,Rd,#47 City Carrboro State:NC Zip: 27510 Department: Health Amount: $1,700
Purpose: Design/produce GIS Health maps Budget Code(s): 10410020-630000 Vendor# 63501 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 12/1/2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to ' X71 d content:
i tt,,, Pa-'--o. 12/3/2015
Department Director's Signature cs�eseo= sa6E 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 sufficient IEivsfitu 'standards, specifications,and requirements:
QUSL Corti ,t16 12/8/2015
Office of the Risk Management Officer 7RDCF917RR0049R_ Date:
Financial Services
This instrument has been pre-audited i e 4fFkii'� it quired by the Local Government Budget and Fiscal Control Act:
, 0,..., ,,.. 12/8/2015
Office of the Chief Financial Officer 4FS,R1 Acc,4o9 Date:
Legal Services
This agreement is approved as t ,i1146ttrrittld sufficiency:
-(4,-
Office of the County Attorney 1035ce8304cA4 Date: 12/15/2015
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 4