Browse
Search
2021-405-E-Health-Granville Vance Public Health-Funding to implement InCK model in Orange County
OrangeCountyNC
>
Board of County Commissioners
>
Contracts and Agreements
>
General Contracts and Agreements
>
2020's
>
2021
>
2021-405-E-Health-Granville Vance Public Health-Funding to implement InCK model in Orange County
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/22/2021 3:31:56 PM
Creation date
7/22/2021 3:31:51 PM
Metadata
Fields
Template:
Contract
Date
7/21/2021
Contract Starting Date
7/21/2021
Contract Ending Date
7/22/2021
Contract Document Type
Contract
Amount
$25,962.00
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Revised 06/21 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Granville Vance Public Health Party/Vendor Contact Person: June Manning Contact Phone: <br />919-690-2100 Party/Vendor Address: 101 Hunt Drive City Oxford State: NC Zip: 27565 Department: Health <br />Amount: To Us $25,962 Purpose: Funding to implement InCK model in Orange County Budget Code(s): <br />10411005-443110 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract <br />Type: (Check one) New Renewal Amendment Effective Date 7/23/21 Approved by Board Yes No <br /> Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes <br />No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state wo rk <br />on this project has not been initiated prior to execution of the agreement: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmatio n. If services related to this <br />agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br />was addressed: <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 the Risk Management Officer___________________________________ 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 />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 33686AC2-BCA9-42EA-883D-3ABB4D4F0269 <br />7/21/2021 <br />7/21/2021 <br />7/22/2021 <br />7/22/2021
The URL can be used to link to this page
Your browser does not support the video tag.