HomeMy WebLinkAboutR 2016-519-E Aging - Rena Springer for wellness instructor DocuSign Envelope ID:8C7A270E-432E-42E0-A5B7-5136E53010EC
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Rena Springer Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1101 Exchange Place, #838 City Durham State: NC Zip: 27713 Department: Aging Amount: $1,200
Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#611218 (N/A if new vendor) Vendor is
a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ® Amendment ❑ Effective
Date September 12,2016 Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
Department Director's Signature � 1GL :�'r Date: 9/8/2016
B7E962D1BF454FA...
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:
DocuSigned by:
ffi
Office of the Risk Management Ocer aUSA rbvvut 1'_ 'll 6 Date: 9/8/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner r�Vuired by the Local Government Budget and Fiscal Control Act:
DocuSigned
Office of the Chief Financial Officer � °" a°9Z Date: 9/8/2016
Os
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date: 9/9/2016
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync•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