HomeMy WebLinkAboutR 2017-387 Aging - Seine Wolfe for wellness instructor ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Seine Wolfe Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 909 Palmers Grove Church Rd City Hillsborough State: NC Zily. 27278 Department: Aging Amount:
$2,000 Purpose: Wellness Instructor Budget Code(s): 10430 20-630120 ndor # 58051 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No[:] Contract Type: (Check one)[Mw Renewal M Amendment E]Effective Date 7/01/17 Approved by Board Yes❑NoM Agenda Date: Ht
This agreement is approved as to technical form and content:
Department Director's Signature Date: X-l"
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 64-- k(. Date: 17
Fin cial Services
This instrument has been pre-audited in the �er P�uired the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
"77
Legal Services
This agreement is approved as to legal form and sufficiency:/
Office of the County Attorney f '��,t ,`�"l.Gt,G. / t tr— Date: a207 1
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd norangecountync. ov
The following signature block is for hard copies only s re red for Docusign contracts: .�
1
Office of the Clerk to the Board Date: < J_--/J/
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Revised 2/17 5