HomeMy WebLinkAboutR 2018-526 Health - Durham County lab servicesRevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Durham County Department of Public Health Party/Vendor Contact Person: Katie Mallette
Contact Phone: 919-560-7692 Party/Vendor Address: 414 East Main Street City Durham State: NC Zip: 27701
Department: Health Amount: $36,000 Purpose: Analyze specimens and report findings Budget Code(s):
10414020-632000-71416 Vendor # 35482 (N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date 07/01/2018 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: A3B2EA3D-26A5-4EE2-967A-0F734EE55228
8/24/2018
8/25/2018
8/27/2018
8/30/2018