HomeMy WebLinkAboutR 2017-261-E Health - Dixon Hughes Goodman, LLP to prepare analysis of 2016 Cost Report DocuSign Envelope ID:832DFDF3-2A7B-415B-AF03-6A9B7508B20F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Dixon Huges Goodman, LLP Party/Vendor Contact Person: Kristi Chestnutt Contact Phone:
919-526-1824 Party/Vendor Address: 2501 BlueRidge Road, Suite 500 City Raleigh State: NC Zip: 27607
Department: Health Amount: $5,500 Purpose: Prepare analysis of 2016 Cost Report Budget Code(s): 10410020-
630000 Vendor#63893 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check
one) New ❑ Renewal ® Amendment ❑ Effective Date 7-1-17 Approved by Board Yes No Agenda
Date:
This agreement is approved as to tec 71:116PfilW A�ce�ass4aF content:
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6/30/2017
Department Director's Signature
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 n'i st '_astanndards,specifications,and requirements:
U.�tS& 6.611/ .J 6 7/3/2017
Office of the Risk Management Officer � Fg17e4� Date:
Financial Services
This instrument has been pre-audited i E Drif3NPVNuired by the Local Government Budget and Fiscal Control Act:
� ` n '`°` 7/3/2017
Office of the Chief Financial Officer 704F51s1ACC14o0 Date:
Legal Services
This agreement is approved as t B.t flna"il�d'-��sufficiency:
tAAAA. (fto4 tL 1 S(6 7/3/2017
Office of the County Attorney o79n1o52SCOF4FB... Date:
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 1/16 5