HomeMy WebLinkAboutR 2018-818 Health - National CineMedia quitlineRevised 10/17
8
ORANGE COUNTY²DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: National CineMedia, LLC. Party/Vendor Contact Person: Meg Hill Contact Phone: 803-631-
5553 Party/Vendor Address: 6300 S. Syracuse Way, Suite 200 City Centennial State: CO Zip: 80111
Department: Health Amount: $7827.14 Purpose: Place one (1) thirty second Quitline ad in theatre Budget Code(s):
10412020-600000-71459 Vendor # 55948 (N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date 1-4-19 Approved by Board
Yes No Agenda Date:
This agreement is approved as to technical form and content:
'HSDUWPHQW'LUHFWRU¶V6LJQDWXUH ________________________________________ 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: 42F2FA62-4D8F-4F99-B725-8D400772FB8A