HomeMy WebLinkAboutR 2016-335-E Aging - Connie Winstead for wellness instructor DocuSign Envelope ID:85CA5012-FA70-46C8-8F09-F65071A07951
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Connie Winstead Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 3000 Montgomery St City Durham State: NC Zip: 27705 Department: Aging Amount: $5,000 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#57329 (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 technical form and content:
DocuSigned by:
,�
Department Director's Signature a�,tu. - �,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:
DocuSigned_by:'ll
Office of the Risk Management Officer F&O, rbV7n, b 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:
DocuSigned by:
Office of the Chief Financial Officer ' �ona,�am Date:
7/5/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney k Date:
7/6/2016
kL�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