HomeMy WebLinkAboutR 2017-412-E Aging - Linda Mansmann for wellness instructor DocuSign Envelope ID:8BA82D31-6A78-46EA-B4A7-42D51 E297B86
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Linda Mansmann Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 8809 Farrington Mill Rd City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $5,000
Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#64737 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ® Amendment ❑ Effective Date
8/20/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to technical form and content:
/^--DocuSigned by:
8/24/2017
Department Director's Signature J AGt- I t tA-V Date:
B7E962D1BF454FA...
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:
r---DocuSigned by:
ni. 8/25/2017
Office of the Risk Management Officer (VIAL b Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner.required by the Local Government Budget and Fiscal Control Act:
i uocuSigned`by:
Office of the Chief Financial Officer
8/25/2017
—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, 1SG6 Date: 8/25/2017
`—079A4D525C0F4FB...
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