HomeMy WebLinkAboutR 2016-635 Aging - UNC Chapel Hill for fitness studio screening ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
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Department
Party/Vendor Name: University of North Carolina at Chapel Hill Party/Vendor Contact Person: Valerie Tan
Contact Phone: Party/Vendor Address: 3108 Bondurant Hall, CB#7120 City Chapel Hill State: NC Zip:
27599 Department: Aging Amount: 6 00 Purpose: Fitness Studio Screenina Budget Code(s): 29430320-63000W 1�
Vendor# 10419 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one) "
New ❑ Renewal ® Amendment ❑ Effective Date 7/01/16 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 �-�-� x C.�— Date: / ! to
Financial Services
This instrument has been pre-audited in the m er re it d y the ocal Government Budget and Fiscal Control
Act: -7
Office of the Chief Financial Officer Date: l�
Legal Services
This agreement is approved as to legal and ff i ncy:
Office of the County Attorney Date: 41416
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Q�)L Date:
Revised 6/16