HomeMy WebLinkAboutR 2017-650-E Health - Carolinas IT to conduct HIPAA security risk analysis DocuSign Envelope ID:88577424-D976-4534-82EF-EEA3A41BAB2A
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carolinas IT Party/Vendor Contact Person: Krsita Cathey Contact Phone: 919-573-4091
Party/Vendor Address: 1600 Hillsborough Street City Raleigh State: NC Zip: 27605 Department: Health Amount:
$5,000 Purpose: Conduct HIPAA security risk analysis Budget Code(s): 10410020-630000 Vendor#64875 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date 11-20-17 Approved by Board Yes No Agenda Date:
This agreement is approved as to to L trtd �d""content:
Von ittc iMt 11/20/2017
Department Director's Signature Date:
5145A26D945C401-
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology co -• oaf§p( lcations:
J1tkt iVbr'""' "1 11/20/2017
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficient 71§§anewstandards,_ specifications,and requirements:
M rbMu tl6 11/20/2017
Office of the Risk Management Office Date:F99-7G8 @0498...
Financial Services
This instrument has been pre-audited i LIWIFilteitquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer An Date: 12/6/2017
B4E5181 ACC1909...
Legal Services
This agreement is approved as t $clbigff h Yd sufficiency:
tAAAA. Altztl tt✓ SG6 12/7/2017
Office of the County Attorney o70 4D525coF4Fe... 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