HomeMy WebLinkAboutR 2018-235 Aging - UNC Hospitals wellness coordinatorORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY
Department
Party/Vendor Name: UNC Hospitals Party /Vendor Contact Person: Tom Maltais Contact Phone:
Party /Vendor Address: Hedrick Bldg., Ste 1069 City Cha ep 1 Hill State: NC Zip: 27517 De artment: Aging
Amount: $25,000 Purpose: Wellness Coordinator Support Budget Code(s): 29430305- 499999 dor # 30892-
(N /A if new vendor) Vendor is a BOCC consultant. Yes ❑ No[] Contract Type: (Che ne) New ❑ l
Renewal ® Amendment ❑ Effective Date 7/01/1-1 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature ` E4GC mot. Date:.5-��
Information TechnololZies
(Applicable only to hardlvare /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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of Risk Management Date:
Financiat Se ices
This instrument has been pre- audited in the in err u' y the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 7 ! p
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney c,dUA t/4& Oyy� Date: W a-1 11%
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 10/17