HomeMy WebLinkAboutR 2015-152 Aging - NC Division of Aging and Adult Services - Amendment to Contract dated 3-22-2013
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: NC Division of Aging and Adult Services Party/Vendor Contact Person: Alicia Blater
Contact Phone: Party/Vendor Address:2101 Mail Service Center City Raleigh State: NC Zip: 27699
Department: Aging Amount: Purpose: AMENDMENT TO EXISTING CONTRACT—DATE CHANGE ONLY
Budget Code(s): 10432005-444121 Vendor#468 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 03/21/15 Approved by
Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: . -/.3
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 Chief Information Officer X Date:
Risk Management E--!!
This agreement is approved for sufficiency of insurance standards,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
Office of the Chief Financial Officer 1 1 Date:
O�
Legal Services
This agreement is approved as to legal and sufficiency:
Office of the County Attorney Date: 13 5
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydna oran eg�countync.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: