HomeMy WebLinkAboutR 2016-173 Aging - UNC at Chapel Hill for Orange County CARES grant ORANGE COUNTY—DEPARTMENT USE ONLY � n /_ - /q3
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Department �-�/ l(,'
Party/Vendor Name: University of North Carolina at Chapel Hill Party/Vendor Contact Person: Rebecca Knott
Contact Phone: 919-966-2344 Party/Vendor Address: Bondurant Hall, CB#7120 City Chapel Hill State: NC Zip:
27599 Department: Aging Amount: $94,000/ Purpose: OC CARES grant Budget Code(s): 30432005-444140
71092 Vendor # 10419 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type:
(Check one)New ® Renewal ❑ Amendment ❑ Effective Date September 1,2015 Approved by Board Yes
®Nor-1 Agenda Date: 10/20/2015
This agreement is approved as to technical form and content:
Department Director's Signature Date: J'-V-16
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:
FEB 2016
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
Office of the Risk Management Officer Date: l /�
Financial Services
This instrument has been pre-audited in the finer uire a Local Government Budget and Fiscal Control
Act: f/
Office of the Chief Financial Officer Date:
7 Legal Services
This agreement is approved as to legal nd sufficiency:
Office of the County Attorney Date: a� b
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Ll d upon completion @ Dolloyd@orangecoumnc.gov
The following signature block is for hard a and is not required for Docusign contracts: (�
Office of the Clerk to the Board Date: l