HomeMy WebLinkAboutR 2016-334-E Aging - Karen Weaver for wellness instructor DocuSign Envelope ID:CBDDBOD4-638F-4858-B1CO-658703A5379C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Karen Weaver Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 431 Hampton Pointe Blvd City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $1,500
Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#63615 (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 technicgl farm and content:
ocu igne by:
Department Director's Signature J 1U_ - �,r Date: 6/28/2016
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:
Fms&DocuSignedby:'ll Office of the Risk Management Officer (hnutl6 Date: 6/29/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
F��N o cuSigned by.
Office of the Chief Financial Officer 0°" &. Date: 7/5/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
igned by:
DocuS
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