HomeMy WebLinkAboutR 2017-370 Aging - UNC at Chapel Hill for fitness studio screening ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Universes of North Carolina at Chapel Hill Party/Vendor Contact Person: Kevin Castle '
Contact Phone: Party/Vendor Address: 3114 Bondurant Hall, CB#7120 City Chapel Hill State: NC Zip:
27599 Department:Aging Amount:$j,0Q0 Purpose: Fitness Studio Screening Budget Code(s):29430320-630000
Vendor# 10419 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one)
New ❑ Renewal ® Amendment ❑ Effective Date 5/01/17 Approved by Board Yes❑ No❑ Agenda
Date:
This agreement is approved as to technical form and content:
Department Director's Signature Date: 7.4
Information Technolozies
(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 Risk Management Date:1�
Finan ' I Se es
This instrument has been pre-audited in the nn re it by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: Q
Lesal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney A'T/L( � lr--W-u _ Date: ?31111
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 2/17