HomeMy WebLinkAboutR 2015-526-E Aging - Valerie Roberts for Senior Center instructor DocuSign Envelope ID: CDDCF87A-DD30-43EC-B3DD-EA5D001578C1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
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Party/Vendor Name: Valerie Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1501 Kirkwood Drive City Durham State: NC Zip: 27705 Department: AjAg Amount: $8,000 Purpose:
senior centers instructor Budget Code(s): 10430120-629000 Vendor # 61484 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date j
September 15,2015 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature , OJA,& fi Date: 9/22/2015
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Information TechnoloEies
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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:
Office of the Chief Information Officer Date:
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Risk ManaEement t
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This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned"by:
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Office of the Risk Management Officer Aura. 66V17t 6 Date: 9/23/2015 h
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Financial Services
This instrument has been pre-audited in the,m�Fybrequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office
r&(At (, U 6VU Date:9/23/2015
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LeEal Services
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This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date:
9/23/2015 �
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Clerk to the Board
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Received for record retention: i
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo dy�rt oran eg coun nc,gov
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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
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