HomeMy WebLinkAboutR 2017-245-E Aging - Joy Gornto for wellness instructor DocuSign Envelope ID:Fl3AACEF-4294-43D2-A63F-364FCE8A8F96
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Joy Gornto Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3431 Pickett Road City Durham State: NC Zip: 27705 Department: Aging Amount: $8,000 Purpose: Wellness
Instructor Budget Code(s): 29430320-630000 Vendor#61228 (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 foo egg tent:
Department Director's Signature Date: 6/26/2017�aan iu. �(�
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 MSA '_ 'll 16 6/27/2017
rbvvut Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
�^---DocuSigne by:
6/27/2017
Office of the Chief Financial Officer �� Date:-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to l akagaN4:sufficiency:
a', hark, tASG6 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