R 2016-707-E Health - Alamance Health Dept. - grant money received for Minority Diabetes Prevention Program

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DocuSign Envelope ID:505DF67F-22A8-4429-B254-C31FF4638A8F ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Alamance Health Department Party/Vendor Contact Person: Stacie Turpin Saunders Contact Phone: 336-513-5514 Party/Vendor Address: 319 N. Graham Hopedale Rd., Suite B City Alamance State: NC Zip: 27217 Department: Health Amount: $15,000 Purpose: Money received through grant for Minority Diabetes Prevention Program Budget Code(s): 10414005-443110-71405 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No X Contract Type: (Check one) New X Renewal ❑ Amendment ❑ Effective Date 1/1/17 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to ec i_d,,, �W'and content: 12/19/2016 Department Director's Signature C9ED9DOFC6B545E.. 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 sufficie q iigvuve e' standards,specifications,and requirements: aura (hnu116 12/19/2016 Office of the Risk Management Officer 7FDCF9176aoo498 Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: 12/19/2016 Office of the Chief Financial Officer 7D4E51a1ACC1409... Date: Legal Services This agreement is approved as e%1l`%WWhd sufficiency: �� Office of the County Attorney -�4os5cesao4cn4aa Date: 12/19/2016 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: 4