HomeMy WebLinkAboutR 2017-090 Aging - Triangle J Council of Governments for NC Family Caregiver Support Program a � 7� 00
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Triangle J Council of Governments Party/Vendor Contact Person: Mary Warren Contact
Phone: 919-588-2707 Party/Vendor Address: 4307 Emperor Blvd., Ste 110 City Durham State: NC Zip: 27703
pepartment: A in Amount: $41,945 Purpose: NC Family giver Support Program Budget Code(s):
10432005-444106 Vendor#5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] Contract
Q Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2016 Approved by Board Yes❑
Nor-1 Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: a/-,J0-/7
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 j 3--:, Date:
7
Financial Services
This instrument has been pre-audited in the requir by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: ZZ �7
Legal Services
This agreement is approved as to legal rm and su ici cy:
Office of the County Attorney Date:
Clerk to he Board
Received for record retention:
Office of the Clerk to the Board Date: 3 (o
NOTE: TJCOG RETURNED ONL SIGNED CONTRACT—REQUESTED A SCANNED COPY
SENT TO THEM WHEN FULLY-SIGNED
Revised 2/17