R 2016-163-E Health - StarPoint Global Services for scanning of medical records

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DocuSign Envelope ID: DB0158A0-1139-48CD-8576-549C07AE1795 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Starpoint Global Services Party/Vendor Contact Person: Richard Rav Contact Phone: 919- 933-9529 Party/Vendor Address: PO Box 707 City Carrboro State:NC Zip: 27510 Department: Health Amount: $35,000 Purpose: Scanning of Medical Records Budget Code(s): 10414020-630000 Vendor#61333 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 2-1-16 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to to r7uTb"t"V, 9nd content: fv 1/28/2016 Department Director's Signature Date: Information Technolosies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology co � d�pvelfications: �llM NbV{ 2/4/2016 Office of the Chief Information Officer „B°g^F„ova Date: Risk Management This agreement is approved for sufficienc /a afiargweystandards,specifications,and requirements: QUSA. Office of the Risk Management Officer r,O�6 Date: 2/4/2016 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer Date: 2/16/2016 aa€s,a Legal Services This agreement is approved as t e071%d sufficiency: Office of the County Attorney Date: 2/23/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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: Revised 1/16 8