HomeMy WebLinkAboutR 2015-375-E Aging - Michael Savino for wellness instructor DocuSign Envelope ID: CF3B53E6-A7C6-4401-9C8F-158C21168A54
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ORANGE COUNTY—DEPARTMENT USE ONLY
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Department
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Party/Vendor Name: Michael Saving Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 505 Long Leaf Drive City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $3,000.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor#44715 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date
July 22,2015 Approved by Board Yes❑No❑ Agenda Date:
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This agreement is approved as to technicaal fonrm�pd content:
QocuSigned5'y:
5 a�n,iU_ fi( ,ir 7/27/2015
Department Director's Signature Date:
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Information Technologies
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(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
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Office of the Chief Information Officer Date:
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Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned by:
'" '� 7/27/2015
Office of the Risk Management Officer PCs& r,6vvt,e,tt0 Date: L
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Financial Services
This instrument has been pre-audited in the plan err wired by the Local Government Budget and Fiscal Control Act:
--IocuSigned�:
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Office of the Chief Financial Officer Date:
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Legal Services e
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This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney, � Date: 7/28/2015
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Clerk to the Board
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Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg countync..ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
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Revised 10/14 4