HomeMy WebLinkAboutR 2016-480-E Aging - Valerie Roberts - class instructor for bridge classes DocuSign Envelope ID: BF58B679-3E72-4E65-9CE1-660060E30114
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Valerie Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1501Kirkwood Drive City Durham State: NC Zip: 27705 Department: Aging Amount: $5,000 Purpose:
class instructor Budget Code(s): 10430120-629000 Vendor # 61484 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
09/01/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form end content:
hh ocu5igne by:
J Date: 8/19/2016
Department Director's Signature AVtdGt
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:
Docugnedby:
Office of the Risk Management Officer FauSi
s . r,6nAA111111
6 Date: 8/22/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the pa
a geed>c uired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer (� `�°'�" °'v Date: 8/22/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal forth and sufficiency:
DocuSigned by:
Office of the County Attorney Date:8/23/2016
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