HomeMy WebLinkAboutR 2016-425-E DEAPR - Nina Maier for tai chi instruction DocuSign Envelope ID:95F60F07-6410-45F7-BAA6-D073A381B85A
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Contact Phone: (919)732-2722 Party/Vendor
Address: 3302 Pearson Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR Amount: $2464.00
Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor#51178 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No[] Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
5DocuSigned by:
Department � sw Ul Director's Signature Date8 i>z i�ti
611CFA1D507A495...
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:
Office of the Risk Management Officer Pausa, (,OV'vtd 6 Date: 6
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner rewired by the Local Government Budget and Fiscal Control Act:
DocuSi ed by:
Office of the Chief Financial Officer ('l� �°n Date: 8/9/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
uSigned by:
Office of the County Attorney 56Z, r6u�s Date:
EAAMKEDM8465... 8/9/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.plc.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