HomeMy WebLinkAboutR 2017-506-E Health - Shari Coveney for TRU Advisor DocuSign Envelope ID: 111299A7-C6CD-409C-AD99-B2F23E4F6967
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Shari Coveney Party/Vendor Contact Person: Shari Coveney Contact Phone: 919-696-2482
x27148 Party/Vendor Address: 102 Kit Court City Mebane State: NC Zip: 27302 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 August 1,2017 Approved by Board Yes No Agenda Date:
This agreement is approved as to to . And content:
VOIrO9 Ctrl 9/8/2017
Department Director's Signature Date:
514�A2.& 94-5e48F...
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 sufficient li t tvstandards,specifications,and requirements:
IUSX Cb b 9/8/2017
Office of the Risk Management Officer 7FDcp0176FM4QR Date:
Financial Services
This instrument has been pre-audited i e941~anfi' 'i°i'�'quired by the Local Government Budget and Fiscal Control Act:
�°" o°"D 9/8/2017
Office of the Chief Financial Officer 7ndF51R1A 1409 Date:
Legal Services
This agreement is approved as t e/gg1C1c�igilid (d sufficiency:
a '1' Al tt' SG6 9/11/2017
Office of the County Attorney 0 7QA4 FQFCQFdFB 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 2/17 5