HomeMy WebLinkAboutR 2017-552-E Co. Mgr. - Center for Child & Family Health - OCPEH training DocuSign Envelope ID:99C7D900-FF76-4FBB-8F90-EAED1 EC38CDO
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Center for Child & Family Health Party/Vendor Contact Person: Constance Slade Contact
Phone: 919-385-0761 Party/Vendor Address: 1121 W Chapel Hill St., Suite 100 City Durham State:NC Zip: 27701
Department: County Manager Amount: $9650.00 Purpose: OCPEH Training Budget Code(s): 32470620 630000
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New
® Renewal❑ Amendment ❑ Effective Date 9/1/17 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and conteocu int,
Dgned by:
Department Director's Signature fibs ki Date:
0A3E81B12B364B4... 9/20/2017
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:
DocuSigned by:
Q 10/9/2017
Office of the Risk Management Officers Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer (9q Date: 10/9/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney 6/0s Date:
EAA3D33E08A8465... 10/9/2017
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