HomeMy WebLinkAboutR 2016-376-E Aging - Nina Maier for wellness instructor DocuSign Envelope ID:6715A5E3-38C0-41CD-A4A6-DC9FD2F818D7
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3302 Pearson Rd City Hurdle Mills State: NC Zip: 27541 Department: Aging Amount: $3,000 Purpose: Wellness
Instructor Budget Code(s): 29430320-630000 Vendor#51178 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 15, 2016
Approved by Board Yes❑No[] Agenda Date:
This agreement is approved as to technical forth and content:
5igned by:
5Z&
Department Director's Signature �v Date:
7/19/2016
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:
Docu5igned""by:''11i1
Office of the Risk Management Officer Q�Sa �,Orvu X16 Date: 7/19/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the tnwnEr required by the Local Government Budget and Fiscal Control Act:
ocu igned y:
Office of the Chief Financial Officer
F� `�°'�" �°'v Date: 7/20/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to le al for t�sufficiency:
Doc.pa
oe y.
7/20/2016
Office of the County Attorney r� � Date:4035CE8334CA4A9...
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