Orange County NC Website
DocuSign Envelope ID:E221AF01-5079-4BE5-B9DF-28644FA9B23E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Avis Barnes Party/Vendor Contact Person: Avis Barnes Contact Phone: (919) 883-6624 <br /> Party/Vendor Address: 3113 Genlee Dr. City Durham State: NC Zip: 27704 Department: Health Amount: $500 <br /> Purpose: TRU Advisor Budget Code(s): 10412020-630000-71454 Vendor#52313 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective <br /> Date August 1,2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to c4gf d co tent: <br /> Vela t 7/24/2017 <br /> Department Director's Signature 5145A2CD945c40F... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficient q:tmon"wstaandards,specifications,and requirements: <br /> lt.SX CortAVt 7/25/2017 <br /> Office of the Risk Management Officer 7FBBF517„o�� Date: <br /> Financial Services <br /> This instrument has been pre-audited i e.(':,i'ft 'iequired by the Local Government Budget and Fiscal Control Act: <br /> A" .A°"D 7/26/2017 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as t Wicf6Onf cllnd sufficiency: <br /> bUAL. oath, 1 SCo 7/26/2017 <br /> Office of the County Attorney Date: <br /> �€ oszseer4ro... <br /> o <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 Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 5 <br />