HomeMy WebLinkAboutR 2018-387 Aging - Joy Gornto wellness instructorRevised 10/17
8
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Joy Gornto Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 3431 Pickett Rd City Durham State: NC Zip: 27705 Department: Aging Amount: $10,000 Purpose:
Wellness Class Instructor Budget Code(s): 29430320-630000 Vendor # 61228 (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 ________________________________________ 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 the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:_________
DocuSign Envelope ID: AE439F92-10EA-4694-BBA7-760C05323B72
8/13/2018
8/14/2018
8/14/2018
8/15/2018