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HomeMy WebLinkAboutR 2018-565 DSS - Medisolutions RN services DocuSign Envelope ID:83953149-A2B0-4F9F-A63C-BE4C32065413 ORANGE COUNTY-DEPARTMENT USE ONLY Department ]Party/Vendor Name: MediSolutions Inc. PartyNendor Contact Person: Robin Creason Contact Phone: 336-329- 9060 PartyNendor Address: 100 N. Church St. City Burlinp�ton State: NC Zip: 27217 Department: Social Services Amount: $15,000 Purpose: RN Services Budget Code(s): 10400220-6 622000 Vendor#NA, (NIA if new vendor) Vendor is a B®CC consultant? Yes ❑ NoE Contract Type: (Check one) New ❑ Renewal Z Amendment ❑ Effective Date Jul Approved by Board Yes[]No® Agenda Date: This agreement is approved as to tec DocuSigned by: ;ent: EDAEIE196A83&455(him 9/13/2018 Department Director's Signature .. Date. Information Technoio ies (Applicable only to hardwarels©ftware 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 suffZcienc: IDocusigned by:' '- 'ds,specifications,and requirements: Q�tSa �,4W�.t,i�b 9/5/2018 Office of the Risk Management Officer 7FDCF917E800498... Date: Financial'Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Docu5igned by: 01.441. 9/13/2018 Office of the Chief Financial Officer[704E518lAr-C1469.-. Date: Legal Services This agreement is approved as tc ooeusigned by:' "° ncy: Date: Office of the County Attorney[_�4,,,,B,,04,A4A.... _ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollpydgjorangecggat3Mc.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: Revised 10/17 8