HomeMy WebLinkAboutR 2015-346-E Aging - Functional Fitness, LLC for wellness instructor DocuSign Envelope ID: 11 F3F293-1 DBD-4644-BD53-4A0AFE6D1 54F
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Functional Fitness, LLC Party/Vendor Contact Person: Kevin Kirk Contact Phone:
Party/Vendor Address: 5311 Beaumont Drive City Durham State: NC Zip: 27707 Department: Aging Amount:
$12,000.00 Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 34783 (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 tec ^'gW,Eq g?d content:
Department Director's Signature , AA&iu" fiybur Date: 6/26/2015
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 iBsurpce�standards,specifications,and requirements:
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F usa, 66vvt,e 6 6/26/2015
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th .mgAW,�jgpired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer PMAL [,al 6VU Date: 6/26/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to Z.�035U aid:sufficiency:
Igoe y
7/21/2015
Office of the County Attorney � Date:04CA4A9...
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