HomeMy WebLinkAboutR 2016-172-E Aging - Karen Weaver for wellness classes DocuSign Envelope ID: 5D5A595E-2BB6-4DD8-9F77-030F1CC8DC59
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Karen Weaver Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 431 Hampton Pointe Blvd City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $720.00
Purpose: Wellness classes Budget Code(s): 29430320-630000 Vendor# 63615 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No[] Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
02/29/16 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical forth and content:
5igned by:
Department Director's Signature 5Z& fi�v Date: 2/24/2016
67E962D1BF454FA...
Information Technolosies
(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:
''11i1
Office of the Risk Management Officer P&a, (,6rvu,�16 Date: 2/24/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
ocuSigned y.
Office of the Chief Financial Officer Fel� `�°'�" �°'v Date: 2/25/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to le al�rtt�an4 sufficiency:
ocu igne by:
Office of the County Attorney "',_ Date: 2/29/2016
4035CE8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov
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 1/16 4