HomeMy WebLinkAboutR 2017-237-E Aging - Karen Weaver for wellness instructor DocuSign Envelope ID:582EA345-0A55-45FF-897F-60712851 8383
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Karen Weaver Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 431 Hampton Pointe Blvd City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $1,500
Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#63615 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
7/01/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
/^--DocuSigned by:
6/26/2017
Department Director's Signature J AGt- I t tA-V Date:
B7E962D1BF454FA...
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:
r---DocuSigned by:
Office of the Risk Management Officer aMtS& rbYliut ll Date: 6/26/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the rya nne required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer (1'161 ` °" a°9Z Date: 6/26/2017-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
p--DocuSigned by:
Office of the County Attorney atAAA t, hark, 1 sco Date: 6/26/2017
`—079A4D525C0F4FB...
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 2/17 5