HomeMy WebLinkAboutR 2015-321-E Aging - Music and Dance Productions, Inc. for Senior Center instructor DocuSign Envelope ID:91 EBAFOC-C657-45EC-A3B5-269F8912EDF5
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Music and Dance Productions, Ind Party/Vendor Contact Person: Wesley Contact Phone:
Party/Vendor Address: P O Box 728 City Franklinton State: NC Zip: 27527 Department: Aging Amount:
$3,000.00 Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 61488 (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 «
Date: 7/6/2015
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:''1L
PAUStL r,6vvte tt0 7/7/2015
Office of the Risk Management OfficerDate:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the mu s eq�y ed by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
�&(A bV' Date: 7/7/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le �l fAm�p sufficiency:
Office of the County Attorney Date: 7/7/2015
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