HomeMy WebLinkAboutR 2018-692 Health-UNC Health Care mammogram screenings F6 '
ORANGE COUNTY--DEPARTMENT USE ONLY-HARD COPY ONLY j
Department
Party/Vendor Name: UNC Health Care System Party/Vendor Contact Person: Kathrw Grant Contact Phone: 984-
974-1274 Party/Vendor Address: 211 Friday Center Drive City Chanel Hill State: NC Zip: 27517 Department:
Health Amount: $14,000 Purpose: BCCCP Mammogram Screenings Budget Code(s): 10414020-631010-71401
Vendor p 30892 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)
New ❑ Renewal ® Amendment ❑ Effective Date 7-17-118 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical fQno and c tent:
Department Director's Signature �llu"I WL� vs� Date:
Information Technologies
(Applicable only to hardware/sojhuare 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, said requirements:
Office of Risk Management ! .t%t-�. r-Y 0" Dme/ B
Financial Servi
This instrument has been pre-audited in [hem ffmqd e Local Government Budge[ and Fiscal Control
Act:
Office of the Chief Financial Officer Date: a
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney (Z&u t,/it tut ze- (`'- Date: 101301 1'6
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 10117