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

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DocuSign Envelope ID:7BOEAFC2-08FE-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®No ❑ Agenda Date: 3/3/15 This agreement is approved as to to rc `t � dS�¢¢cl.,co tent: 9/27/2016 Department Director's Signature aacaaazsaFOlaaF Date: 4 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: i Office of the Chief Information Officer Date: 'r r Risk Management 1 z € This agreement is approved for sufficiency a'ff�f0 6 Watadards,specifications, and requirements: Office of the Risk Management Officer 7FDCF917680 498`.6 _ Date: 9/28/2016 1 Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: s�ma�,z 9/28/2016 Office of the Chief Financial Officer � o Date: _... 5i8�1ACC1409... Legal Services This agreement is approved as t fftndfta sufficiency: Office of the County Attorney 7_�t Date: 9/28/2016 Cleric to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydn_aorangecountync.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