HomeMy WebLinkAboutR 2017-285-E Aging - Salli Benedict for wellness instructor DocuSign Envelope ID:660CF382-5584-476A-8F2B-840FFE7837CB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Salli Benedict Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 302 Waterside Drive City Carrboro State: NC Zip: 27510 Department: Aging Amount: $3,500 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor#38196 (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:
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Department Director's Signature J Date: 7/10/2017
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:
attSa __ ••llll 7/11/2017
Office of the Risk Management Officer vvullb Date:
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: 7/11/2017
—7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
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County Attorney ate, hark, 1 scb 7/11/2017
Office of the Coun Attorne 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