HomeMy WebLinkAboutR 2016-382 Aging - William Meyers for wellness instructor ORANGE COUNTY-DEPARTMENT USE ONLY _ 2 p�
Department J U
Party/Vendor Name: William Meyers Party/Vendor Contact Person: Contact Phone: Partyyendor
Address: 1204 Little Creek Rd Ci �- Z94T30320-6300TO ham State: NC Zip: 27713 Department: A in Amount: 1 500 urpose:
Wellness Instructor Budget Code(s Vend or# 56366 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑No❑ Contract Type:(Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 31,
2016 Approved by Board Yes[]No® Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date:
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:
Office of the Risk Management Officer �t.� ( � Date:�b
Financial Services
This instrument has been pre-audited in the manner r it y e cal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 2S 4
Legal Services
This agreement is approved as to legal fo d suff ie c
2
Office of the County Attorney Date: � -b
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloXdgoran eg countvnc.gov
The following signature block is for hard cop. y nd is of required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 5