HomeMy WebLinkAboutR 2017-294-E Aging - Megan Peters for MAP intern DocuSign Envelope ID:AF90A043-3416-45FF-AC6E-9B7F0A829FC6
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Megan Peters Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 6123 Farrington Rd., Apt B6 City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,500
Purpose: MAP Intern Budget Code(s): 10430020-630120 Vendor#64561 (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 �aan lu. �'�l t V Date: 7/12/2017
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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 MSA. rbil&' tl6 Date: 7/12/2017
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 rI Date: 7/13/2017-7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney
u�A. hark, 1Sr b Date: 7/13/2017
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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