HomeMy WebLinkAboutR 2018-344 Aging - Town of Chapel Hill senior servicesORANGE COUNTY - -- DEPARTMENT USE ONLY --- HARD COPY ONLY
Department
Party /Vendor Name: Town of Chapel Hill Party /Vendor Contact Person: Lisa Baaske Contact Phone:
Party/Vendor Address: 405 Martin Luther King Jr Blvd City Chapel Hill State: NC Zip: 27514 Department:
Agin Amount: $50,000 Purpose: Senior Services Budget Code(s): 10430103 - 435001 Vendor # 64 (N /A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No[:] Contract Type: (Check one) New ❑ Renewal
Amendment ❑ Effective Date 7/01/18 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to technical form and content:
Department Director's Signature . GZ�X -l�GL 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
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of Risk Management Date: b
Financial Services
This instrument has been pre - audited in the ner q 'red by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date:
Leal Services
This agreement is approved as to legal for and suf • ney: /'
Office of the County Attorney Date: r 7 - r
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 10/17