HomeMy WebLinkAboutR 2018-665 Health - UNC Department of Health medical director contract ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: UNC Department of Family Medicine Party/Vendor Contact Person: Pam Hoover Contact
Phone: 919-966-3907 Party/Vendor Address: 590 Manning Drive City Chapel Hill State: NC Zip: 27599
Department: Health Amount: $167,2 17.50 Purpose:Medical Director and Mental Health Services Budget Code(s):
10414020-630000-71400/71403/71406/71409/71414/71416 Vendor#21243 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective
Date 7-1-18 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to techn'cal form and content:
Department Director's Signature v Date: 10-3 -1Y
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 {�j�� Date:J 0
or
Financial Services
This instrument has been pre-audited in the in err q.it by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: A11114
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney tz& 7rriL Date: 10 1-11 ot01%
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 10/17