HomeMy WebLinkAboutR 2016-244-E Aging - Jessica Pulliam for Master Aging Plan Summer Intern DocuSign Envelope ID:2042F21A-A40F-451 B-99C9-EE532EE2CD13
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Jessica Pulliam Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 112 Chestnut Street City Durham State: NC Zip: 27707 Department: Aging Amount: $4,000 Purpose:
Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor # 63772 (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 techni A" content:
Department Director's Signature � Date: 5/5/2016
B7E962D18F454FA...
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 US. rbvvtcal6 Date: 5/6/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer Date: 5/6/2016
7D4E5181AC11409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorney E�� EK Date: 5/9/2016
403516831411419...
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