HomeMy WebLinkAboutR 2016-331-E Aging - Joy Gornto for wellness instructor DocuSign Envelope ID:0092AEC6-8253-4326-BB05-EF830CA708C5
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Joy Gornto Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3431 Pickett Rd City Durham State: NC Zip: 27705 Department: Aging Amount: $7,000 Purpose: Wellness
Instructor Budget Code(s): 29430320-630000 Vendor#61228 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 1, 2016
Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technic%l form and content:
.f.s by:
Department Director's Signature A�,tGt.
Date: 7/5/2016
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:'ll
Office of the Risk Management Officer F&O, rbV7n,f b Date: 7/6/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
ocuSigned y:
Office of the Chief Financial Officer F�.1� Date: 7/6/2016
Os
ona�/am
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date: 7/6/2016
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync•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 6/16 5