HomeMy WebLinkAboutR 2017-280-E Aging - Daniel Leonard for wellness instructor DocuSign Envelope ID:Dl5A8E35-8D90-4C51-A263-4DFF97E02A3A
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Daniel Leonard Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 105 Keith Road City Carrboro State: NC Zip: 27510 Department: Aging Amount: $6,000 Purpose:
Wellness Instructor Budget Code(s): 29430320-622000 Vendor#44504 (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:
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Department Director's Signature i'a/utu, tii(as Date: 7/9/2017
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 by:
aLtS& Cb b 7/10/2017
Office of the Risk Management Officer Date:
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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f —DocuSigned by.
Office of the Chief Financial Officer rI 4441'6."1- Date: 7/10/2017
—7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal gorr1�,anal sufficiency:
ocu igne by:♦�-��
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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