HomeMy WebLinkAboutR 2015-427-E Aging - Stave Movement Foundation for wellness instructor DocuSign Envelope ID:OD740226-7CEO-4689-8080-9211 D927618B
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Stave Movement Foundation Party/Vendor Contact Person: Contact Phone:
Party/Vendor Address: 2105 Kellam City Apex State: NC Zip: 27502 Department: Aging Amount: $1,500.00
Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 62950 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date
July 1,2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technic form bpd content:
ocu&gned by:
Department Director's Signature [_� « �x Date:
6/30/2015
B7E962D1BF454FA...
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
---DocuSigned""by:''1L
QUS- 66vvt,e 6 7/28/2015
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the nq greryguired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
_ �MAL bvu Date: 8/12/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le %AM4,sufficiency:
Office of the County Attorney s 1� Date$/12/2015
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