HomeMy WebLinkAboutR 2017-256-E Aging - Arlene Bynum-Mills for fitness studio management DocuSign Envelope ID:Al5B6B22-02AD-40AD-A037-154629882875
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Arlene Bynum-Mills Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 213 Rosaline Lane City Durham State: NC Zip: 27713 Department: Aging Amount: $7,000 Purpose:
Fitness Studio Management Budget Code(s): 10430120-630000-71085 Vendor # 64460 (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:
6/29/2017
Department Director's Signature JalAA L- ItiILt�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 Yby:'ll
g ill rbIv U 6/29/2017
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited inthe �annerdrequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer (1'161 ` °" a°9Z Date: 6/30/2017-7D4E5181 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: 7/2/2017
`—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