HomeMy WebLinkAboutR 2016-400-E Aging - Linda Textoris for Fit Feet nurse DocuSign Envelope ID:879158B8-215C-41E9-908B-93137E4B1305
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Linda Textoris Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 750 Weaver Dairy Rd, #204 City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $6,000
Purpose: Fit Feet nurse Budget Code(s): 29430320-622000 Vendor # 58380 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date
July 20,2016 Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical form and content:
Docu5igned by:
Department Director's Signature � '�� Date: 7/22/2016
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:
[—DocuSigned by:''11i1
Office of the Risk Management Officer Q�Sa �,Orvu X16 Date: 7/25/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in thepmunnerr br�equired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer[_( _N Date: 7/25/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to le al form aerq sufficiency:
ocu igne y:
Office of the County Attorney Date: 7/25/2016
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