HomeMy WebLinkAboutR 2016-274-E Aging - Stephanie Miller for Master Aging Plan Summer Intern DocuSign Envelope ID:4EB029EC-C8D6-42D5-86F9-ED93750F8D75
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Stephanie Miller Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 101 Cheswick Court City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,000 Purpose:
Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor # 63773 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 05/17/16 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical farm end content:
ocu igne by:
Department Director's Signature � '�� Date: 5/16/2016
67E962D18F454FA...
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:
Docu5igned by:
Office of the Risk Management Officer USA. (,6nAA 111i 6 Date: 5/17/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th rWVAWngguired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer °'�" °'v Date: 5/31/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney In,_ Date: 5/31/2016
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