HomeMy WebLinkAboutR 2016-241-E Aging - Maureen Devlin for Master Aging Plan Summer Intern DocuSign Envelope ID:4C66C6C0-0395-484C-B2FB-375ED35FBD84
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Maureen Devlin Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 112 Daffodil City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,000 Purpose: Master
Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor# 63779 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date
05/09/16 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical form and content:
DuSigned by:
Department Director's Signature 5:(& fi�v Date: 5/5/2016
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:
''11ii
Office of the Risk Management Officer Fausa, vv�cal6 Date: 5/5/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the pagnere yquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer el� Date: 5/5/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney s Date:
5/5/2016
4035CB8334CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL&oranaecountync.Qov
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