HomeMy WebLinkAboutR 2016-638 Aging - Town of Chapel Hill for senior services ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY C)t 4p (02g
Department �Y J
Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Bill Webster Contact Phone:
Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27514 Department:
Aeina Amount: $50,000 Purpose: Senior Services Budget Code(s): 10430105-44400 ndor# 64 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check o e New ❑ Renewal
Amendment ❑ Effective Date 07/01/2016 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date:
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 Risk Management /.Q Date: /!
Financial Services
This instrument has been pre-audited in th ma requ. d by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal f d su i 'ency:
Office of the County Attorney ` Date: I 1 1 0 I(o
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 6/16