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ORANGE COUNTY <br /> AMENDMENT TO SERVICES AGREEMENT <br /> NORTH CAROLINA <br /> THIS AMENDMENT, made and entered into this the 17`h day of October, 2014, by and between the County of <br /> Orange, a body politic and corporate of the State of North Carolina, ("County"), and Lesly Veronica <br /> Penick("Provider"); <br /> WITNESSETH: <br /> WHEREAS, the County and Provider entered into a Services Agreement dated, July, 1" 2014, to provide services <br /> to be rendered by Provider to County's Health Department("Original Agreement"); and <br /> WHEREAS, the County and Provider desire to amend the Original Agreement, while keeping in effect all terms <br /> and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. <br /> NOW THEREFORE, for and in consideration for the mutual covenants and agreements made herein, the parties <br /> agree to amend the Original Agreement as follows: <br /> Orange County Health Department, Terms and Conditions, Section 2.e.iv. Provide proof of a current influenza <br /> vaccine before November 1, 2014. Proof of immunization must take the form of one of the following: Provider's <br /> immunization record or medical record signed by a representative of the Provider's healthcare practice. In either <br /> case both the Provider's name and the date of immunization must be present. Only vaccines approved by the <br /> Centers for Disease Control and Prevention(www.cdc.gov/flu/protect/vaccine/vaccines.htm) will be accepted. The <br /> provider is responsible for the costs associated with acquiring the vaccination. <br /> Except for the changes made 2. Provider's Responsibilities herein,the Original Agreement shall remain in full force <br /> and effect to the extent it is not inconsistent with this Amendment. In the event that there is a conflict between the <br /> Original Agreement and this Amendment,this Amendment shall control. <br /> IN WITNESS WHEREOF, Orange County and the Consultant have signed this Amendment, effective this <br /> the 17"' day of October, 2014. <br /> FOR: ORAN E UNTY FOR PROVIDER: <br /> By: By: <br /> County Manager Lesly Veronica Penick,Provider <br /> This instrum s b roved as to technical content. <br /> es E. a is,Jr., • tment 'rector <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act. <br /> AV- <br /> Clarence G. Grier, Asst. County Manager/CFO <br /> Thijtent has been approved as to form and legal sufficiency. <br /> Annette M.Moore, ktaff Attorney <br />