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DocuSign Envelope ID:2F1423ED-2589-479B-8D17-D6259D2980B6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: UNCH Yurty/Youdor Contact Person: Margaret Dudley Contact Phone: (919) 974' <br /> 0935 Party/Vendor Address: 101 Manning Dr. City Chapel Hill State: NC Zip: 37514 Department: Social <br /> Services Amount: $36974 Purpose: Medicaid Processing at UNCH Budget Code(s): 10403005'442311 Vendor# <br /> NA (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 }VoZ Contract Type: ` eukone) New 111 l <br /> Renewal M Amendment 0 E�echveD�eJuly 1, 2017 Approved by Board you� NoM Agenda Date: � <br /> This agreement is approved as to content: 1 <br /> 7/25/2017 <br /> Department D�mctv�a8�omb^rd~--DAE,s,y6Ao313+55 Dam: <br /> Information Technologies <br /> (Applicable only/o6m'dwm'u6oft''mx purchases m/'related services)This agreement has been reviewed and h <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> | <br /> This agreement is approved for sufficie durdx, specifications,and requirements: <br /> | ^ ~'^' «`' `~~`` 7/10/2017 <br /> Office uf the Risk Management Ofbccr\^_*omy//o80v490 Date: <br /> Financial Services � <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 7/25/2017 <br /> Office of the��biofFinancial Officer i ` «~ Date: <br /> �~~,o^e5113 tfcem4199- <br /> Legal Services <br /> This agreement is approved as sufficiency: <br /> $�u� 7/25/2017 <br /> Office of the County Attorney\._4o`,oao3om^4Ao Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusi u contracts: <br />