HomeMy WebLinkAboutR 2017-643-E Co. Mgr. - Center for Child & Family Health for OCPEH training DocuSign Envelope ID:D1281FOB-9FD2-40A9-A95B-F16C96A671DA
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: $3050.00 Purpose: OCPEH Training Budget Code(s): 32470620630000_
Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
® Renewal ❑ Amendment ❑ Effective Date 11/6/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature tP'aW-(S kruA, Date: 11/28/2017
0A3E81B12B364B4...
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:
r---DocuSigned by:
Office of the Risk Management Officer MS& (firtiuth Date: 11/28/2017
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 Date: 11/28/2017-704E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency.:
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- -Docu igned by:
j
Office of the County Attorney o rott5 Date: 11/28/2017
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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