HomeMy WebLinkAboutR 2019-331 Emergency Svc - Vanderbilt Morin data use agreement DocuSign Envelope ID: B1973876-87EE-498D-AA8D-5852F1A5F3B2
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Vanderbilt University Party/Vendor Contact Person: Jacques Morin Contact Phone: 919
5255075 Party/Vendor Address: 1205 Hillsborough Rd. City Chapel Hill State:NC Zip:27514
Department: Emergency Services Amount: N/A Purpose: Data Use Agreement Budget Code(s): N/A Vendor#
N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New
Renewal❑ Amendment ❑ Effective Date_June 13,2019 Approved by Board Yes❑No® Agenda
Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
LDOCUSigned by:
5655BC89IA64473
t� �t is 6/14/2019Department Director's Signatur Date:
.
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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 b 'E4c035CB8304CA4M
ousigned by: ;ncy:
Office of the County AttorneyDate:6/17/2019
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:
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