HomeMy WebLinkAboutR 2018-672 Aging - UNC School of Medicine physical function screens c
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: UNC at Chapel Hill Party/Vendor Contact Person: Kevin Castle Contact Phone:
Party/Vendor Address: School of Medicine,Dept of Allied Health Sciences City Chapel Hill State:NC Zip:27599
Department: Aging Amount: $6,000 Purpose: physical function screens Budget Code(s): 29430320-630000
Vendor# 10419 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)
New ❑ Renewal ® Amendment ❑ Effective Date 7/01/2018 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 Risk Management Date:
Financial Services
This instrument has been pre-audited in the annLuired y the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date:
Leal Services
This agreement is approved as to legal f r and sufficiency:
Office of the County Attorney _ Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 10/17