HomeMy WebLinkAboutR 2016-373-E Aging - Ryan Lavalley for master aging plan summer intern DocuSign Envelope ID:0208AF55-755E-4EF2-9F17-9E6D613B5933
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Rvan Lavalley Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 100 Rock Haven Road,Apt 203P City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,000
Purpose: Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor#63775 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑
Effective Date 05/09/16 Approved by Board Yes❑Nor-1 Agenda Date:
This agreement is approved as to technical fgrm abed content:
ocu igned Y.
Department Director's Signature ,WAA*a �W Date: 5/9/2016
67E962D1BF454FA...
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:
[—DocuSigned/' ""by:''11i1
Office of the Risk Management Officer allSA. ('6M ,ll b Date: 7/18/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner rSVuired by the Local Government Budget and Fiscal Control Act:
ocuSigned
Office of the Chief Financial Officer 7/20/2016
Fel�� s�oraR,�losz Date:
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date: 7/20/2016
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.ny_c.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