HomeMy WebLinkAboutR 2017-630 Health - Missouri Community Action network poverty simluation license Aolq - ��
ORANGE COUN'T'Y---DEPART'MEN'T' USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Missouri Community Action Network Party/Vendor Contact Person: Customer Service
Contact Phone: 573-634-2969 Party/Vendor Address: 2014 William Street City Jefferson City State: MO Zip:
65109 Department: Health Amount: $2,150 Purpose: Poverty simulation license Budget Code(s): 10412020-
680007-71451 Vendor #N/A (N/A if new vender) Vendor is a BOCC consultant? Yes ❑ No X Contract
Type: (Check one)New X Renewal❑ Amendment ❑ Effective Date 11-9-17 Approved by Board Yes❑No
❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: 0
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:
i
Office of Risk Management Date: l 7
Financial Services
This instrument has been pre-audited in the a r Ldby Local Government Budget and Fiscal Control
Act: f
d
Office of the Chief Financial Officer Date: "74; 7
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney 6.�/ !y r
<<J4•L Date: W i 1 11-1
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 2/17 bt%ck 4-t, 1)ef 2,11
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