HomeMy WebLinkAboutR 2017-244-E Aging - Connie Winstead for wellness instructor DocuSign Envelope ID:689CF72F-617F-4F08-Al2D-93F9518E9BBB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Connie Winstead Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 3000 Montgomery St City Durham State: NC Zip: 27705 Department: Aging Amount: $5,000 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#57329 (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 technic fnewi :content:
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Department Director's Signature 1-11 Date: 6/26/2017
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:
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Office of the Risk Management Officer MS& COVln, b Date: 6/27/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the ma nnee required by the Local Government Budget and Fiscal Control Act:
6/27/2017
Office of the Chief Financial Officer (1'161 ` °" a°9Z Date:-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal Efort ar�4 sufficiency:
� ocu igne y:
a hark, t e 6/27/2017
Office of the County Attorney Date:
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