HomeMy WebLinkAboutR 2015-541-E Aging - Chapel Hill Institute for Cultural and Language Education for Senior Center instructor DocuSign Envelope ID:AC302E60-1CB4-4308-8830-306C67884AEA
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Chapel Hill Institute for Cultural and Language Education Party/Vendor Contact Person: Perla
Saitz Contact Phone: 919-933-0398 Party/Vendor Address: 101 East Weaver St_ G-1 City Carrboro State:NC Zip:
27510 Department: Aging Amount: $10,000 Purpose: senior centers instructor Budget Code(s): 10430120-629000
Vendor 4 43840 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)
New ❑ Renewal ® Amendment ❑ Effective Date September 10, 2015 Approved by Board Yes❑ No❑
Agenda Date:
This agreement is approved as to technical 5
rm nd content:
ocu igned y:
Department Director's Signature
[_� '«' -Ar Date: 9/28/2015
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 (,bnU& Date: 9/29/2015
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSign"_ed by:
Office of the Chief Financial Officer P� lA l,(.1-bVU Date: 9/30/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le of flog n��d sufficiency:
Office of the County Attorne 44 Date: 10/5/2015
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