Orange County NC Website
______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: PHE, Inc. Party/Vendor Contact Person: Katy Zvolerin Contact Phone: 919-644-8100 <br />Party/Vendor Address: 302 Meadowlands Dr. City Hillsborough State: NC Zip: 27278 Department: County <br />Manager Amount: $500 Purpose: Sponsorship Donation Budget Code(s): 34600020 900057 Vendor # <br />(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New <br />Renewal Amendment Effective Date Approved by Board Yes No Agenda Date: <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management_____________________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention by Sherri Ingersoll @ singersoll@orangecountync.gov. <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br /> <br />DocuSign Envelope ID: 0B0EE4BA-8E7D-429A-B346-3E71DA2C25E0 <br /> <br /> <br /> <br />