HomeMy WebLinkAboutR 2018-205 Health - Elavon credit card feesRevised 2/17
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Elavon, Inc. Party/Vendor Contact Person: Todd Johansen Contact Phone: 800-226-9332
x8186 Party/Vendor Address: PO Box 86 City Minneapolis State: MN Zip: 55486 Department: Health Amount:
$9,000 Purpose: Payment of credit card fees Budget Code(s): 10410020-682002 Vendor # 64920 (N/A if new
vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal
Amendment Effective Date 6/26/18 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 Risk Management_____________________________________________ 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:
Office of the Clerk to the Board __________________________________________Date:_________
DocuSign Envelope ID: 7BAFA4EF-DE91-4D64-A904-630EDDFF2843
6/14/2018
6/15/2018
6/15/2018
6/15/2018
6/15/2018