2016-541-E HR - Gallagher Benefit Services for consulting services

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DocuSign Envelope ID:7B0EAFC2-08FE-4D8D-8809-FC9B16F772B3 ORANGE COUNTY—DEPARTMENT USE ONLY Department 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#63188 (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[E]No ❑ Agenda Date: 3/3/15 This agreement is approved as to to co tent: �rc.,,N , �P d l�¢d., Ir v (MAO 9/27/2016 Department Director's Signature R+raaazsaFOl45F Date: 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 'fl8Ilisi e""'+fann1dards,specifications, and requirements: a�SA. Orwttb 9/28/2016 Office of the Risk Management Officer 7FDCF9176800498... Date: is Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: sG/orLitiiaosL 9/28/2016 Office of the Chief Financial Officer � o Date: N4�5i81 ACC 1409... :. Legal Services This agreement is approved as t 7 d sufficiency: Office of the County Attorney p8 Date: 9/28/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 10/14 10