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HomeMy WebLinkAboutR 2020-275 Emergency Svc - Final Passage Transport COVID DocuSign Envelope ID:6F1378EE-84DB-45B0-90DE-C39BA2077B34 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Final Passage Transport Party/Vendor Contact Person: Raven Coleman Contact Phone: 919-327-0041 Party/Vendor Address: 3434 Edwards Mill Rd, Ste 112-192 City Raleigh State: NC Zip: 27612 Department: Emergency Services Amount: $Five thousand dollars Purpose: COVID-19 transportation of decedents in the event of Mass Fatality at 200.00 per transport Budget Code(s): 10750020- 63000-95020 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 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: Ilocusigned by: Department Director's Signature Date: 4/28/2020 EV5655BC89IA64473 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 insuran,-P stnndnrd, -morifications, and requirements: Wcu5igned by: Office of the Risk Management Officer ��Sa 4/28/2020 7F©CF917E800��49�6 Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: oocusigned by: 41 .e.4va. 4/29/2020 Office of the Chief Financial Officer Date: —Irl7NE5181ACC1409... Legal Services This agreement is approved as to legal form and suffix;- -cosigned by: Office of the County Attorney` � �°}"' - Date: 4/29/2020 4035CB8304CA4Ae... 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: 11