HomeMy WebLinkAboutR 2015-294-E Aging - Nancy Alton for Fitness Studio Management DocuSign Envelope ID:60F8978A-A70B-42DE-91 DB-31313E5E1 F71 D
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Nancy Alton Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 3917 Marklyn Place City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $6,000.00
Purpose: Fitness Studio Management Budget Code(s): 10430120-630000-71085 Vendor 4 58145 (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 technical form and content:
DocuSigned by:
6/23/2015
Department Director's Signature � « fi� Date:
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:
--DocuSigned by:
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11LL
Office of the Risk Management Officer
�,Sa ('bn e& Date: 6/24/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in lagj uired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer PMAL h aw Date: 6/24/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le alofg�y gn��ysufficiency:
Office of the County Attorney ✓ 0 1� Date: 6/29/2015
4035CB8304CA4A9...
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