HomeMy WebLinkAboutR 2017-310 Aging - William Meyers for wellness instructor ORANGE COUNTY—DEPARTMENT USE ONLY 011u, '
Department
Party/Vendor Name: William Mew Party/Vendor Contact Person: Contact Phone: Party/
Address: 1204 Little Creek Rd City Durham State: NC p: 27713 Department: Aging Amount: $1,500 ose:
Wellness Instructor Budget Code(s): 29430320-630000�ndor# 56366 (N/A if new vendor) Vendor is a BOCC IL%
consultant? Yes❑Non 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: /
Department Director's Signature Date:
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:
Office of the Risk Management Officer zC� 0 d t d Date: 7
Urequid rvices
This instrument has been pre-audited in the man the Lo cal Government Budget Fi cal Control Act:
Office of the Chief Financial Officer Date: 7/177.117
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney (Aw(,�1!& `fnr Date:A 1 i 11
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecountync.gov
The following signature block is for hard ie and i not required for Docusign contracts
Office of the Clerk to the Board Date: i1
Revised 2/17 5