HomeMy WebLinkAboutR 2016-463-E Aging - Sheila Kerrigan - class instructor DocuSign Envelope ID: D89F1119-29EB-43DC-99DD-F1510FB8BB81
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Sheila Kerrigan Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 2310 Stansbury Rd City Chapel Hill State: NC Zip: 27516 Department: Aging Amount: $1,000 Purpose:
class instructor Budget Code(s): 10430120-629000 Vendor # 63977 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
08/15/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical fgrm abed content:
ocu igned Y.
Department Director's Signature �WAA*U_ �W Date:
8/10/2016
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:
''1111
Office of the Risk Management Officer FllS. rvu& Date: 8/11/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner reuired by the Local Government Budget and Fiscal Control Act:
DocuSigned by'.
Office of the Chief Financial Officer (' �°n.�l Date: 8/16/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legapforsmnand sufficiency:
Office of the County Attorney Date: 8/17/2016
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 4