HomeMy WebLinkAboutR 2016-347-E Aging - Salli Benedict for wellness instructor DocuSign Envelope ID:44D3F690-D090-4903-811B-EB71F909E5BC
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Salli Benedict Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 302 Waterside Drive City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,500 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#38196 (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 tech ' R,10 content:
Department Director's Signature � �� Date: 7/3/2016
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:
Docugned by:
Office of the Risk Management Officer FauSi
s . r,6nAA 11111
6 Date: 7/4/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in th %qf rWuired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer
Date: 7/9/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to le aL fop aid sufficiency:
ocu fop y.
Office of the County Attorney � Date: 7/9/2016
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 6/16 5