HomeMy WebLinkAboutR 2015-580-E Aging - Pamela Baggett for Senior Center instructor DocuSign Envelope ID:6374FO2A-5953-4922-9A2E-8F689B00546D
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Pamela Baggett Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 8800 Wilkerson Road City Cedar Grove State: NC Zip: 27231 Department: Aging Amount: $2,400
Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 63179 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective
Date 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 �a�n,tGt fi� Date: 10/28/2015
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 AUS. (,bVt e& Date:10/29/2015
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 +(� vbvu Date: 10/29/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal p fo gmdabnd sufficiency:
Office of the County Attorney Date: 10/29/2015
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