HomeMy WebLinkAbout2021-652-E-EMS-University of North Carolina- School of Medicine-EMS Medical Director's ContractDocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
DocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
DocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
DocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
DocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
DocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
DocuSign Envelope ID: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
7
ORANGE COUNTY—DEPARTMENT USE ONLY
________________________________________________________________________
Party/Vendor Name: University of North Carolina- School of Medicine Party/Vendor Contact Person:
Ginger Morgan Contact Phone: (919) 966-4559 Party/Vendor Address: 3140 Bioinformatics Building
City Chapel Hill State: NC Zip: 27599 Department: Office of Professional Service Contracts and
Affiliations Amount: 51,700 Purpose: EMS Medical Director's Contract Budget Code(s): 10-
7575206300 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date 07-01-2020 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:
Department Director’s Signature ________________________________________ 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 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 Clerk upon completion: occlerkdocs@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: 29CC76EA-9C26-4836-BFC9-F3A851B2B073
11/8/2021
11/8/2021
Gary Donaldson 11/8/2021
11/11/2021