HomeMy WebLinkAboutR 2016-399-E Health - Maile Williams for TRU advisor DocuSign Envelope ID:84870512-AE58-4263-938C-6DDE397368F1
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Maile Williams Party/Vendor Contact Person: Maile Williams Contact Phone: 919.732.6133
ext.20067 Party/Vendor Address: 1505 Mountain View Ct.#B City Hillsborough State: NC Zip: 27278 Department:
Health Amount: $500 Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor # 62256 (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 Taluf&M�f'id content:
Lb" 6/27/2016
Department Director's Signature csEOSOOFCSBSasE_ 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-of Ilmaevstandards, specifications,and requirements:
QUSA, r,Orv�,c,�16 6/27/2016
Office of the Risk Management Officer ,PnrPaa7aannAQ Date:
Financial Services
This instrument has been pre-audited i e°(1SlhTX i'tquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
iF:ta Date: 7/22/2016
� sSassar ±nQ
Legal Services
This agreement is approved as t egRTcffl93f`a1 Wd sufficiency:
Office of the County Attorney Date: 7/25/2016
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