HomeMy WebLinkAboutR 2016-120 Aging - Triangle J Council of Governments for Home and Community Care Block Grant ORANGE COUNTY-DEPARTMENT USE ONLY
Department 1
Party/Vendor Name: TTialngle J Council of Governments Party/Vendor Contact Person: Mary Warren Contact
Phone: 919-588-2707 Party/Vendor Address: 4307 Emperor Blvd., Ste 110 City Durham State: NC Zip: 27703
Department: Aging Amount: $550,104 Purpose: Home and Community Care Block Grant Budget Code(s):
multiple Vendor# 5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New ❑ Renewal ® Amendment ❑ Effective Date 07101/2015 Approved by Board Yes® No
❑ Agenda Date:6/02/2015
This agreement is approved as to technical form and content:
Department Director's Signature ti 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 � 60 Date:
Financial Services
This instrument has been pre-audited in the moiner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 2 L
, f/ —
Legal Services
This agreement is approved as to legal nd su iency:
Office of the County Attorney Date: 2-3 }(j
a z� s
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydQoran eg countync.eov
The following signature block is for hard cop' n d is required for Docusign contracts: J_
Office of the Clerk to the Board Date:_�j�l