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5L4L <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Caterina Phillips Party/Vendor Contact Person: Contact Phone: 919-451-3499 <br /> Party/Vendor Address: 1403 Woodburn Rd. City Durham State: NC Zip: 27705 Department: Health Amount: <br /> Purpose: Budget Code(s): Vendor # 60322 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date <br /> 10/17/2014 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic form and nt: <br /> Department Director's Signature Date: 1(72 14 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management_�d�� ` Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: qq � � � <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal f and sufficiency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />