Orange County NC Website
DocuSign Envelope ID: E159BACB-CB73-4DED-B2AA-303FCC337EC5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: The Care Share Health Alliance Party/Vendor Contact Person: Linda Kinney Contact Phone: <br /> 919-861-8355 Party/Vendor Address: 100 Regency Forest Drive, Suite 200 City Car State: NC Zip: 27518 <br /> Department: Economic Development Amount: $9,000.00 Purpose: Faciliation Support for the development of the <br /> Orange County Food Council. Budget Code(s): 34600020-099950 Vendor 4 60099 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 3/1/15 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: <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 Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency 1,77 ndards, specifications, and requirements: <br /> AUS Office of the Risk Management Officer 7FDCFQ17RR004QR Date: <br /> Financial Services <br /> This instrument has been pre-audited in ��it§1��� ired by the Local Government Budget and Fiscal Control Act: <br /> �aU�, <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to bform-mdsufficiency: <br /> ,�au>1t,S j�jV a.ln, <br /> Office of the County Attorney y Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo ydnorangecoountynnc.ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 <br />