HomeMy WebLinkAboutR 2016-243-E Aging - Marisa Martini for Master Aging Plan Summer Intern DocuSign Envelope ID: D666A894-BFFB-4111-8D4B-404A52D1 3C1 1
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Marisa Martini Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 111 Howell St., Apt GI City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $3,200
Purpose: Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor#63774 (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: 5/3/2016
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:
FaDocuSigned by: 11ii Office of the Risk Management Officer llSA. (hnt''al6 Date: 5/3/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner rW.tured by the Local Government Budget and Fiscal Control Act:
ocuSigned
Office of the Chief Financial Officer Fel� `�°'�"��°'L Date:5/6/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to leg o formeaanbd sufficiency:
Office of the County Attorney � 4, Date: 5/10/2016
4035CB8304CA4A9...
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