HomeMy WebLinkAboutR 2017-196-E Health - Ann Gerhardt for 10 hours executive coaching DocuSign Envelope ID:D7825EB6-90DA-4C6B-AE71-06C612257720
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Ann Gerhardt Party/Vendor Contact Person: Ann Gerhardt Contact Phone: 919-622-4152
Party/Vendor Address: 123 Braswell Rd. City Chapel Hill State: NC Zip: 27216 Department: Health Amount: $800
Purpose: 10 hours executive coaching Budget Code(s): 10412020-530100-71453 Vendor # 64485 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date Approved by Board Yes No Agenda Date:
This agreement is approved as to to y,74(' Ph`1 '�d content:
Vat VUt 5/23/2017
Department Director's Signature czrnon�4nF... 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 sufficiency q»aaliusn standards,specifications,and requirements:
lt.St C,.V'IkLffb 5/24/2017
Office of the Risk Management Office Date:
#Bero,7saooaoo...
Financial Services
This instrument has been pre-audited irrtnegiitiNfteitquired by the Local Government Budget and Fiscal Control Act:
A" '°'z 5/31/2017
Office of the Chief Financial Officer — E5M1i1ACC1nng... Date:
Legal Services
This agreement is approved as t e bL .f✓ L sufficiency:
Office of the County Attorney �� Date: 5/31/2017
County y 079A4D525C0F4FB
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 2/17 5