HomeMy WebLinkAboutR 2017-490 Aging - Triangle J Council of Governments Area Agency on Aging for NC family caregiver support �20I '1 ,
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Triangle J Council of Governments Area Agency on Aging Party/Vendor Contact Person:
Ellison Jones Contact Phone: 919.558.2909 Party/Vendor Address: 4307 Emperor Blvd., Suite 110 City Durham
State: NC Zip: 27703 Department: Aging Amount: $42,073 Purpose: NC Family Caregiver Support Program�n
Budget Code(s): 10432005-444106. Vendor#5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
No[] Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 7/01/2017 Approved by
Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature b4�� 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 � Date:
Financial Services
This instrument has been pre-audited in the m re ' e by he Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date:
Lezal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney t ! _f i/� 4c /t" Date:
erk to the Board
Received for record retention:
Office of the Clerk to the Board Date: /
Revised 2/17