R 2016-406-E Starpoint Global Services for scanning of medical records

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DocuSign Envelope ID:3B343F2B-F3EC-4D90-A7F9-lC4402CBA567 i DocuSign Envelope ID: DB0158AO-1139-48CD-8576-549C07AE1795 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Starpoint Global Services Party/Vendor Contact Person: Richard Ray 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 r� I: ;�� b NYfd content: Co Department Director's Signature Date:1/28/2016 Information T echnologies (Applicable only to hardd vane/software purchases or related services)This agreement has been reviewed and is approved as to information technology co A w Nb&rly 2/4/2016 Dsm�l �fications: � Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiene 6vmrgQcsystandards, specifications,and requirements: i useL br'k xff b 2/4/2016 Office of the Risk Management Officer Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: L DocuSigned by: Office of the Chief Financial Officer 4 Date: 2/16/2016 Legal Services This agreement is approved as t e 'BPY�iPPR Md sufficiency: Office of the Count- Date: 2/23/2016 }' )' �naFrpaaner.aeaa Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ l:)olloyd�'ii�orangecountvne.�zov 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