HomeMy WebLinkAboutR 2017-264-E Aging - Barbara Lang for wellness instructor DocuSign Envelope ID:87BF107D-405E-4C76-B5D4-6AE86312F5CC
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Barbara Lang Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 905 Cedar Fork Trail City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $5,000 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#44068 (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 all content:
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Department Director's Signature � Date: 7/4/2017
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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 aMMS& COVln,f ll b Date: 7/5/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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Office of the Chief Financial Officer /5/2017
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-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
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y ate, hark, fibSCb 7/5/2017
Office of the County Attorney Date:
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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