R 2015-366-E HR - Gallagher Benefit Services for consulting services

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DocuSign Envelope ID:95F765C9-AE95-41C0-9136-42808BDB92C8 ORANGE COUNTY—DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Gallagher Benefit Services Party/Vendor Contact Person: Eric Black Contact Phone: 704- 971-2553 Party/Vendor Address: 4064 Colony Road Suite 450 City Charlotte State: NC Zip: 28211 Department: Human Resources Amount: $105,000.00 Purpose: Consulting Services Budget Code(s): 70395210/999999 Vendor 4 N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 3/4/15 Approved by Board Yes®No ❑ Agenda Date:3/3/15 This agreement is approved as to tec 9 fiWwAl&d content: j�MJA,J-& f jaVl�,l,4(hMCW 7/15/2015 Department Director's Signature Date: �986289F01 ... 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 Agri "" t''andards,specifications,and requirements: c7mc7/22/2015 Office of the Risk Management Officer F9176800498... Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: �atn�, �,alA�blti 7/22/2015 Office of the Chief Financial Officer e FtF+aa� Date: Legal Services This agreement is approved as to egaQ°fti4liYt1 sufficiency: Office of the County Attorne Date: 7/28/2015 Y an2sr.aaanarnana Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/14 10