HomeMy WebLinkAboutR 2015-215-E Aging - Anna Baker for MAP summer intern
DocuSign Envelope ID: 832FB724-F292-4AA3-A518-CC3F7005CE84
ORANGE COUNTYDEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Anna Baker Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
140 BPW Club Rd., Apt. B21 City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,000 Purpose:
MAP Summer Intern Budget Code(s): 10430020-630120 Vendor # N/A (N/A if new vendor) Vendor is a BOCC
consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date May 15,
2015 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
4