HomeMy WebLinkAboutR 2016-524-E Aging - Carson Stuart - wellness instructor DocuSign Envelope ID:OACCB29C-0691-414F-9F98-51B46D8CD387
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Carson Stuart Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 903 Emory City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,000 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor# 610928 (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 forth and content:
5z5igned by:
&Department Director's Signature fi�v Date: 9/13/2016
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:
""by:''11i1 Office of the Risk Management Office rDocuSigned
llSA. ('6nt,ll b Date: 9j14/2016
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer Date: 9/14/2016
7D4E5181ACC1409...
Legal Services
This agreement is approved as to le � pfftciency:
Office of the County Attorney � .- Date: 9/14/2016
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