HomeMy WebLinkAboutR 2016-395-E Health - Shari Coveney for TRU advisor DocuSign Envelope ID:CCDE8ACE-1857-4DF8-A7CB-8ED5C66129D6
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Shari Covenev Party/Vendor Contact Person: Shari Covenev Contact Phone: 919-696-2482
x27148 Party/Vendor Address: 1622 Worth St. City Hillsborough State: NC Zip: 27278 Department: Health
Amount: $500 Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor # 62244 (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 rq Pgb 'Md content:
� � 7/1 1/2016
Department Director's Signature ss�eaee�s�a�4i� Date:
Information Technolo6ies
(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 q 6n&mwwoys'tallndards, specifications, and requirements:
l usa (hn X116 7/11/2016
Office of the Risk Management Officer Date:
�FBE%r91-7-6880498...
Financial Services
This instrument has been pre-audited in e Yft"198" uired by the Local Government Budget and Fiscal Control Act:
1611 . 7/22/2016
Office of the Chief Financial Officer 7nApl Ri A cciam Date:
Legal Services
This agreement is approved as t gf-F6twdaWd sufficiency:
Office of the County Attorney Date: 7/22/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&oran eg countync.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