HomeMy WebLinkAboutR 2015-492 Aging - Town of Chapel Hill for Volunteer Connect 55+ r
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Jackie Thompson Contact Phone: 919-
969-5081 Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27514
Department: Aging Amount: $12,300 Purpose: Volunteer Connect Budget Code(s): 10434005-448910 Vendor#
64 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑
Renewal ® Amendment ❑ Effective Date 07/01/2015 Approved by Board Yes❑ No[] Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date:
Information Technologies
(Applicable only to hardwareIsoftware 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,1specifications,and requirements:
Office of the Risk Management Officer e� , � (�!5� Date: 7 c
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer G' � Q/w' Date:W1.1
Legal Services
This agreement is approved as to legal f an ffi iency:
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DollUd@oran ecountmc• og_v
The following signature block is for hard cop' on1 d is t required for Docusign contracts:
Office of the Clerk to the Board Date: