HomeMy WebLinkAboutR 2017-048-E Aging - Brooke Hess for Master Aging Plan Intern DocuSign Envelope ID:98AB524B-CBE4-4E59-83E6-E8216C713957
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Brooke Hess Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 218 Crystal Circle City Mooresville State: NC Zip: 28117 Department: Aging Amount: $1,200 Purpose:
Master Aging Plan Intern Budget Code(s): 10430020-630120 Vendor# 64283 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
February 1,2017 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
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Department Director's Signature i tct- Date: ia-tAA - 1
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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:
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Office of the Risk Management Officer aMtS& Cbvwc Date: 1/30/2017
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer Date: 1/30/2017
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney Date: 1/31/2017
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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