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R 2016-481-E DSS - Chatham Transit Network for non-emergency Medicaid transportation
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R 2016-481-E DSS - Chatham Transit Network for non-emergency Medicaid transportation
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Last modified
12/18/2018 8:48:08 AM
Creation date
9/1/2016 8:49:10 AM
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Template:
BOCC
Date
8/23/2016
Meeting Type
Work Session
Document Type
Routing
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2016-481-E DSS - Chatham Transit Network for non-emergency Medicaid transportation
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\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2016
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DocuSign Envelope ID:BD69DF46-15CD-49E6-8588-93617FCCFB94 Contract#68-2030 <br /> Chatham Transit Network <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Departmen <br /> Party/Vendor Name: Chatham Transit—Netwollk Party/Vendor Contact Persom A—nnaTesterman. Contact Phone: ftl954_2-5136 <br /> PartyNendor Address:EQ Box 103Z City Ektt—sboro State:NC Zip:27312 Department:Social Services Amount:$10 000 Purpose:Non- <br /> :L[qjjWgqation Budget Code(s): Vendor# (N/A if new vendor) NoZ <br /> Contract Type: (Check one)New E] Renewal E Amendment F <br /> 1�2O 16 Approved by Board Yesf <br /> Agenda Dute: ____ <br /> This agreement is approved as to technical form a L, <br /> Date: 8/23/2016 <br /> D4m� e�Dio�or°mSi�u�� � _____ <br /> Information Technologic <br /> (Applicable only to hardwarelsoj�ware purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Uate:_______ <br /> Risk Manaaeme <br /> This agreement io approved for sufficiency of insuranc ations, and roquirnmonUy: <br /> 8/22/2Olh <br /> Date: <br /> Office of the Risk Management<�U@co . __... <br /> _____ <br /> Financial Services <br /> This instrument has been pre-audited ot Budget and Fiscal Control Act: <br /> 8/Z3/ZOl6 <br /> ��#iceuf the��bic{Financial<�t�cer D�r�________ <br /> Legal Services <br /> This agreement io approved fd <br /> Date:8/23/2016 <br /> ��yOocuf the�County Attorney �_______ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Douuaigu contracts must 6c copied to Donna Lloyd upon completion 1@) <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> � <br /> @�Oucof the K�|erktothe Board Da�.________ <br /> NN <br /> Contract-General (07/10) Page 5of5 <br />� <br />� <br />
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