HomeMy WebLinkAboutR 2015-313-E Aging - Connie Winstead for wellness instructor DocuSign Envelope ID: 51 D434AE-BDB9-4D7E-9616-0AAD05E1 CC24
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Connie Winstead Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 3000 Montgomery Street City Durham State: NC Zip: 27705 Department: Aging Amount: $5,000.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 57329 (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:
Department Director's Signature � U_ - �,r Date: 7/2/2015
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:
-DocuSigned by:
Q�Sa 7/2/2015
Office of the Risk Management Officer ��� Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
--- +DocuSign__ed by:
Office of the Chief Financial Officer INAL (� l(1-bVu Date: 7/2/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorne f Date:7/2/2015
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