HomeMy WebLinkAboutR 2017-383-E HR - Envision Pharmaceutical Services, LlC to provide claims admin and parmacy benefit services DocuSign Envelope ID: 57C7A907-5B58-49D3-A739-6F02F5DAADB5
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Envision Pharmaceutical Services, LLC and United HealthCare Services, Inc. Party/Vendor
Contact Person: Anne Ashbridge Contact Phone: 952-486-4328 Party/Vendor Address: 3131 RDU Center Drive,
RDU Center II City Morrisville State: NC Zip: 27560 Department: Amount: $0 Purpose: To provide
claims administration and phaumacy benefit services. Budget Code(s): 0 Vendor# 61007 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑No0 Contract Type: (Check one)New Ef Renewal❑ Amendment ❑
Effective Date June 6,2017 Approved by Board Yes❑No Agenda Date:
This agreement is approved as to to.s. oadulYlwm Rad content:
blittAJA Department Director's Signature barh�uu Date: 8/9/2017
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Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
•
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
ACt: DocuSigned by:
R, y � 2.*
Office of the Chief Financial Officer ('D1EE5181ncc,aoo... Date: 8/9/2017
Legal Services
This agreement is approved as to e etbied$j su ciency:
gIA,Vut. hart, 6SGO 8/9/2017
Office of the County Attorney O79A41525COF4FR 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: