HomeMy WebLinkAboutR 2016-415-E Aging - Nathaniel Shapiro for wellness instructor DocuSign Envelope ID:593338F8-59C1-4A9D-92DC-A91318C543A3
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nathaniel Shapiro Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 2701 Homestead Rd City Chapel Hill State: NC Zip: 27516 Department: Aging Amount: $6,000 Purpose:
Wellness Instructor Budget Code(s): 10430120-630000-71085 Vendor# 63616 (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 technicahfp.rin. n'allycontent:
,tu (�y 7/28/2016
Department Director's Signature Date:
B7E962D1BF454FA...
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:
Fmso,DocuSignedby:'ll Office of the Risk Management Officer (hnutl6 Date: 7/29/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the&7AMW-d%quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer [_�4N Date:
7/29/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to le al�g gq oufficiency:
Office of the County Attorney Date:
8/1/2016
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync•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