HomeMy WebLinkAboutR 2015-284-E Aging - Joy Gornto for wellness instructor DocuSign Envelope ID:Al003872-9D23-4FA7-8905-86F251 B038BO
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Joy Gornto Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3431 Pickett Road City Durham State: NC Zip: 27705 Department: Aging Amount: $7,000.00 Purpose: wellness
instructor Budget Code(s):29430320-630000 Vendor 4 61228 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 1, 2015
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic 1 f rm nd content:
�ocu�igned by:
Department Director's Signature «
Date: 6/24/2015
B7E962D1BF454FA...
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:
pDocuSigned""by:''111L Office of the Risk Management Officer US. (hnutt0 Date: 6/24/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
I—NAL DocuSigned by:
1 _ �b� 6/25/2015
Office of the Chief Financial Officer l�"� D ate:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to r7.0-35—C ofgyxme sufficiency:
Office of the County Attorney 1� Date: 6/25/2015
B8304C A4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
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