HomeMy WebLinkAboutR 2017-520-E ES - Piedmont Health Services for community paramedics DocuSign Envelope ID:25F1 DDD5-A13F-45AF-B2DE-CBA993575C29
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Piedmont Health Services Party/Vendor Contact Person: Brian Toomey Contact Phone: 919-
545-7341 Party/Vendor Address: 127 Kingston Dr City Chapel Hill State: NC Zip: 27514 Department: OCES
Amount: N/A Purpose: Community Paramedics Budget Code(s): N/A Vendor # N/A (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 technical form and content:
l---DOCUSigned by:
Department Director's Signature O'er Vino Date: 9/20/2017
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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 Risk Management Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney hum.ltt*4 ? sa Date: 9/20/2017
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Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 2/17