HomeMy WebLinkAboutR 2017-308 Aging - Town of Chapel Hill for Volunteer Connect 55+ Program AS O - 90Y
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Jackie Thompson Contact Phone:
Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27V4 Department:
Aging Amount: $12,300 urpose: Volunteer Connect 55+ Budget Code(s): 10434005-448910 endor#64 (N/A&
if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal
Amendment ❑ Effective Date 07/01/2017 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 Risk Management / �,�-- (�% 2 � Date: 7
Financ' 1 Services
This instrument has been pre-audited in the in er q ired by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: ? 17 ,7
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney j�,4,/ � /`6. 1���' Date: 1 ►-1 11
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 2/17