HomeMy WebLinkAboutR 2015-184-E Aging - Stave Movement Foundation for wellness instructor
DocuSign Envelope ID: 89625EAB-E131-40FF-9D8D-D57E6F00714D
ORANGE COUNTYDEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Stave Movement Foundation Party/Vendor Contact Person: Contact Phone:
Party/Vendor Address: 2105 Kelly Rd City Apex State: NC Zip: 27502 Department: Aging Amount: $990.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor # N/A (N/A if new vendor) Vendor is a
BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date
04/16/15 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
________________________________________ Date: ________
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________
___________________________ Date: ________
Risk Management
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:
Office of the Chief Financial Officer
____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney
__________________________________________Date: ________
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:_________
Revised 10/14
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