R 2016-395-E Health - Shari Coveney for TRU advisor

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DocuSign Envelope ID:CCDE8ACE-1857-4DF8-A7CB-8ED5C66129D6 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Shari Covenev Party/Vendor Contact Person: Shari Covenev Contact Phone: 919-696-2482 x27148 Party/Vendor Address: 1622 Worth St. City Hillsborough State: NC Zip: 27278 Department: Health Amount: $500 Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor # 62244 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal Amendment ❑ Effective Date July 1,2016 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to to rq Pgb 'Md content: � � 7/1 1/2016 Department Director's Signature ss�eaee�s�a�4i� Date: Information Technolo6ies (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 sufficienc q 6n&mwwoys'tallndards, specifications, and requirements: l usa (hn X116 7/11/2016 Office of the Risk Management Officer Date: �FBE%r91-7-6880498... Financial Services This instrument has been pre-audited in e Yft"198" uired by the Local Government Budget and Fiscal Control Act: 1611 . 7/22/2016 Office of the Chief Financial Officer 7nApl Ri A cciam Date: Legal Services This agreement is approved as t gf-F6twdaWd sufficiency: Office of the County Attorney Date: 7/22/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&oran eg countync.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 6/16 4