R 2017-298-E Health - Wake Medical Laboratory Consultants, Inc. for lab services for family planning

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DocuSign Envelope ID:3DAF2DFC-999B-4C15-9AAF-83B41A879CDB ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Wake Medical Laboratory Consultants, Inc. Party/Vendor Contact Person: Kerry Hughes Contact Phone: 248-763-8504 Party/Vendor Address: 3000 New Bern Avenue City Raleigh State: NC Zip: 27610 Department: Health Amount: $15,000 Purpose: Lab Services for Family Planning Budget Code(s): 10414020- 632000-71406 Vendor# 63158 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 7/1/17 Approved by Board Yes No ❑ Agenda Date: This agreement is approved as to to c°?F gf'a Yid content: UM (LIMt L 7/12/2017 Department Director's Signature 51a5A2CD945(4OF_. 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 qt§istetystandards,specifications, and requirements: ((Us& rbvvutl6 7/13/2017 Office of the Risk Management Officer ZFOCFg17680049R Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Arts1. 7/13/2017 Office of the Chief Financial Officer Date: 7D4C5181ACC1409... Legal Services This agreement is approved as t e arf'dl e�n�a,, l�'t♦l.--�suffciency: &AAA. Aunt, -)SCb 7/13/2017 Office of the County Attorney 079A4D525C0F4FB... Date: 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 6/17 8