HomeMy WebLinkAboutR 2018-421 Aging - Alicia Reid wellness instructorRevised 10/17 (Mgr apprv 5k 6/18)
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Alicia Reid Party/Vendor Contact Person: Contact Phone: Party/Vendor Address:
3508 Borland Rd City Efland State: NC Zip: 27243 Department: Aging Amount: $4,900 Purpose: wellness
instructor Budget Code(s): 10430120-770105 and 29430320-630000 Vendor # 62881 (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: F06CB1E9-0497-47BD-9305-F943B019EAD3
8/16/2018
8/17/2018
8/17/2018
8/20/2018