HomeMy WebLinkAboutR 2016-322-E Health - Avis Barnes for TRU Advisor DocuSign Envelope ID:AEA6A194-0163-467A-BO87-BOAB73895C5B
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Avis Barnes Party/Vendor Contact Person: Avis Barnes Contact Phone: (919) 883-6624
Party/Vendor Address: 3113 Genlee Dr. City Durham State: NC Zip: 27704 Department: Health Amount: $500
Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor# 52313 (N/A if new vendor) Vendor is
a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective
Date July 1,2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to to m `f'b'@1AdMd content:
�— a—a) 6/23/2016
Department Director's Signature Date:
Information Technolosies
(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 / SA, (hVV ct6 kt�jja;� ,,�tandards, specifications,and requirements:
Office of the Risk Management Officer QU� Date: 6/24/2016
Financial Services
This instrument has been pre-audited i t e_9MWiftF??6quired by the Local Government Budget and Fiscal Control Act:
ta
Office of the Chief Financial Officer Li 7D4E5181ACC1409... Date: 6/27/2016
Legal Services
This agreement is approved as t egRF ffdal�l sufficiency:
6/27/2016
Office of the County Attorney a�,��,RR��a�,oaoa Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 6/16 4