HomeMy WebLinkAboutR 2017-281-E Aging - Michael Savino for wellness instructor DocuSign Envelope ID:3B89DDCF-489D-4FD8-ADD3-0135D80D7084
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Michael Savino Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 505 Long Leaf Drive City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,000
Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#44715 (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:
Department Director's Signature A-I"-' (,V Date: 7/7/2017
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:
Office of the Risk Management Officer MS& Cbb Date:7/10/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
, ---DocuSigned by:
7/10/2017
Office of the Chief Financial Officer rl 4,1-41.1~- Date:
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Legal Services
This agreement is approved as to leAl fottn� d sufficiency:
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Office of the County Attorney Date: 7/10/2017
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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