HomeMy WebLinkAboutR 2017-092 Aging - Triangle J Council of Governements for Title III-D HPDP Funds of the Older Americans Act ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
PartyNendor Name: Triangle J Council of Governments PartyNendor Contact Person: Mary Warren Contact
Phone: 919-588-2707 PartyNendor Address: 4307 Emperor Blvd., Ste 110 City Durham State: NC Zip: 27703
partment: Aging Amount: $8,628 Purpose: Title III-D HPDP Funds of the Older Americans Act Budget
CJ�Code(s): 10430105-444005 Vendor# 5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑
Contract Type: (Check one)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 Date: Z-3 7
Financial Services
This instrument has been pre-audited in the in re ire7 the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 2
Legal Services
This agreement is approved as to legal f d su ' cy:
Office of the County Attorney Date: 2
Clerk to the Board
Received for record retention:
c
Office of the Clerk to the Board Date:
Revised 2/17