HomeMy WebLinkAboutR 2017-269-E Aging - Linda Textoris for wellness instructor DocuSign Envelope ID:B70A1079-3111-4AB6-9909-4036B3A4CO3D
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Linda Textoris Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 750 Weaver Dairy Rd., #204 City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $7,000
Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#58380 (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 anq content:
,---DocuSigned y:
Department Director's Signature Jam« �� Date: 7/5/2017
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:
r---DocuSigned a�S& by: ll
Office of the Risk Management Officer rbYliut 16 Date: 7/6/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
, ---DocuSigned by:
Office of the Chief Financial Officer rl 4,1-41.1~- Date: 7/6/2017
`—7D4E5181 ACC 1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
r--DocuSigned by:
Office of the County Attorney ate, hark, 1 sco Date: 7/6/2017
`—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