HomeMy WebLinkAboutR 2018-105 Health - Rocchetti and Associates trainingRevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Rocchetti and Associates, Inc. Party/Vendor Contact Person: Ricky Lee Rocchetti Contact
Phone: 919-280-2812 Party/Vendor Address: 10204 Halberg Lane City Raleigh State: NC Zip: 27614
Department: Health Amount: $4,725 Purpose: Executive Coaching of clinic staff members Budget Code(s):
10414020-630000 Vendor # 64788 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract
Type: (Check one) New Renewal Amendment Effective Date 3-15-18 Approved by Board Yes
No Agenda Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ Date: ________
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 the Risk Management Officer___________________________________ 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:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:_________
DocuSign Envelope ID: 30809FAD-A9DE-4881-9740-361075204924
3/27/2018
3/28/2018
3/29/2018
3/29/2018