HomeMy WebLinkAboutR 2018-732 Health - Compass CenterRevised 10/17 (Mgr apprv 5k 6/18)
4
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: The Women's Center Party/Vendor Contact Person: Cordelia Heaney Contact Phone: 919-968-
4610 Party/Vendor Address: 210 Henderson St. City Chapel Hill State: NC Zip: 27514 Department: Health
Amount: $450 Purpose: Prepare and present two modules of the Breaking Silence curriculum Budget Code(s):
10410020-680030 Vendor # 65198 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract
Type: (Check one) New Renewal Amendment Effective Date 11-15-18 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: 49FD978C-B77A-45E1-955E-F8767765F56B
11/8/2018
11/8/2018
11/8/2018
11/8/2018