HomeMy WebLinkAboutR 2018-276 DSS - Medisolutions Inc. RN servicesDocuSign Envelope ID: 7918E906- 4978- 4DF3- 996D- 879CB7628380
ORANGE COUNTY- DEPARTMENT USE ONLY
Department
Party/Vendor Name: MediSolutions Inc. Party/Vendor Contact Person: Robin Creason Contact Phone: 336 -329-
9060 Party/Vendor Address: 100 N. Church St, City Burlington State: NC Zip: 27217 Department: DSS
Amount: 10,000 Purpose: RN Services Budget Codc(s): 10400220 622000 Vendor # NA (N /A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date February 12018 Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to to Dacusigned by:
Nam W6w
Department Director's Signature oaElE196a83B455...
tent:
Information Technologies
6/29/2018
Date:
(Applicable only to hardware /software purchases or related set-vices) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer
Risk Management
This agreement is approved for sufficient Docusigned by:
Q�ISa ('6VL�.t,{�6
Office of the Risk Management Office 7FDCF91768004ss_.
Date:
rds, specifications, and requirements:
Financial Set-vices
6/29/2018
Date:
This instrument has been pre - audited in the mariner required by the Local Government Budget and Fiscal Control
Act: Docusigned by:
A.&I. 7/3/2018
Office of the Chief Financial Officer ` o4E��s1acC1409 . -. Date:
Legal Services
This agreement is approved as t Docusigned ay:
Office of the County Attorney. a o35CBS304i;n4as...
ley:
Clerk to the Board
Date:
7/3/2018
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync,goy
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board
Revised 10117