HomeMy WebLinkAboutR 2014-501 Aging - Triangle J Council of Governments for Home and Community Care Block Grant for Older Adults cox-1 -50(
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
PartyNendor Name: Triangle J Council of Governments PartyNendor Contact Person: Joan Pellettier Contact
Phone: 919-549-0551 Party/Vendor Address: 4307 Emperor Blvd., Suite 110 City Durham State:NC Zip: 27703
Department:Aging Amount: $562,848 Purpose:Home and Community Care Block Grant for Older Adults Budget
Code(s): 10430105, 10432005, 10435005 Vendor# 5855 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 07/01/14
Approved by Board Yes No❑ Agenda Date: 06/03/14
This agreement is approved as to technical form and content:
Department Director's Signature Date: 9%2
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 Director of Information Technology Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of Risk Management ae,j � Date: 5'//7//Y
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer v` /"` 41A_-, e It/Date:
Legal Services
This agreement is approved as to legal f. rak and sufficiency:
Office of the County Attorney \ Date: qz..4l`{'
Clerk to the Boar.
Received for record retention:
Office of the Clerk to the Board / / Date: 50 / (