HomeMy WebLinkAboutR 2015-448-E Aging - UNC-Chapel Hill for Project EngAGE Facilitator activities as outlined in the attached Scope DocuSign Envelope ID:9F6CD7A3-C98B-47EB-9872-901B2E31ABE1
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: University of North Carolina Party/Vendor Contact Person: Carol Gunther-Mohr Contact
Phone: 919-843-2518 Party/Vendor Address: Campus Box 8165 City Chapel Hill State: NC Zip: 27599-8165
Department: Aging Amount: $9,954 Purpose: MAP-Project EngAGE Budget Code(s): 10430020-630120 Vendor 4
52553 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New
Renewal❑ Amendment ® Effective Date 07/28/15 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to tec gL�g R. dWO content:
� Gt 'r�t
Department Director's Signature Aj.&t � Date: 8/14/2015
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:
''111L
Office of the Risk Management Officer a�lSa (,bVtU& Date: 8/17/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by::
Office of the Chief Financial Officer
P&IAL tMobVu Date: 8/17/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to C.��} g�r�me sufficiency:
Office of the County Attorney Date: 8/18/2015
035CB830 4CA4A9...
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