HomeMy WebLinkAboutR 2016-497-E Aging - CHICLE Language Institute for class instructor DocuSign Envelope ID:OF057OB4-4262-4BBE-8F68-616C28CC34D6
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: CHICLE Language Institute Party/Vendor Contact Person: Perla Saitz Contact Phone: 919-933-
0398 Party/Vendor Address: 109 Conner Dr., Ste 2200 City Chapel Hill State: NC Zip: 27514 Department: Aging
Amount: $14,950 Purpose: class instructor Budget Code(s): 10430120-629000 Vendor#43840 (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 and content:
5igned by:
Department Director's Signature
8/29/2016
5z& Date:
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:
FaDocuSigned b y: 1111 Office of the Risk Management Officer llSA. ('6nttN Date: 8/29/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
gned by:
Office of the Chief Financial Officer DocuSi � .�1 Date: 8/29/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County Attorney Date: 8/29/2016
4035CE8334CA4A9...
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