HomeMy WebLinkAboutR 2016-471 Aging - Michael Savino for wellness instructor ORANGE COUNTY—DEPARTMENT USE ONLY
Department O( lQ
Party/Vendor Name: Michael Saving Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 505 Long Leaf Dr City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: 12 00 urpose:
Wellness Instructor Budget Code(s): 29430320-63000 dor#44715 (N/A if new vendor) Vendor is a BOCC
consultant? Yes❑No❑ Contract Type: (Check one) ❑ Renewal ® Amendment ❑ Effective Date August
22,2016 Approved by Board Yes❑No® Agenda ate:
This agreement is approved as to technical form and content:
Department Director's Signature ic"'." Date: S-' 2r-,16
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:
Office of the Risk Management Officer `Date: raZ ` t6
FiAancial SiWces
This instrument has been pre-audited in the man a require y e L al Government Budget and F*scal Control Act:
Office of the Chief Financial Officer Date: ��<
V i —
Legal Services
This agreement is approved as to legal d suf ie 3c ____",Office of the County Attorney Date: t
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd n completion Dolloy�oran eg countync.gov
The following signature block is for hard copies only n n quir for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 5