HomeMy WebLinkAboutR 2017-494 Health - UNC at Chapel Hill - Amendment to Interim Health Director ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: UNC at Chapel Hill Party/Vendor Contact Person: Lisa Pe rry Contact Phone: 919-966-5982
Party/Vendor Address:CB7445,401 B Rosenau Hall City Chapel Hill State:NC Zip:27599-7445 Department:Health Amount:
$19,025.57 Purpose: Interim Health Director Budget Code(s): 10410020-630000 Vendor # 10419 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective
Date 8-24-17 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature A Date: { J
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: j(Z4.7
Financial Services
This instrument has been pre-audited in the ne r qu red the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: Z t 7
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney 4.41tf lua, kit' Date: `)ka I/I l
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date: 1
Revised June 2017