HomeMy WebLinkAboutR 2015-117 Aging - Town of Chapel Hill for Seymour Center Services ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Bill Webster Contact Phone: 919-968-
2819 Party/Vendor Address: 200 Plant Road City Chapel Hill State: NC Zip: 27514 Department: Aging
Amount: $50,000 Purpose: Seymour Center Services Budget Code(s): 10430105-444002 Vendor# 64 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal
Amendment ❑ Effective Date 07/01/2014 Approved by Board Yes[]No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: �'fS
Information Technologies
(Applicable only to hardware/software purchases o lated services)This agreement has been reviewed and is
approved as to information technology content and speci ons:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insuranc tand ds,specifications,and requirements:
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: c� v
Office of the Chief Financial Officer I '"' ' Da e: / 2
Legal Services
This agreement is approved as to legal form a d su n
Office of the County Attorney �. Date:�l S
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync•gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: