HomeMy WebLinkAboutR 2015-493 Aging - Town of Chapel Hill for Senior Lunch Program ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Town of Cha ep 1 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: $10,000 Purpose: Senior Lunch Program Budget Code(s): 10430105-449000-71086
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 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:
Office of the Risk Management Officer— Date:_42L 7 //5—
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: n
Office of the Chief Financial Officer Date: Q S
Goo
Legal Services
This agreement is approved as to legal fo and sufficiency:
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 @ Dolloyd@orangecountMc.gov
The following signature block is for hard d is t required for Docusign contracts: y^
Office of the Clerk to the Board