HomeMy WebLinkAboutR 2018-463 Aging - Seine Wolfe wellness instructoroLo18 76 3
ORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party /Vendor Name: Seine Wolfe Party/Vendor Contact Person: Contact Phone: Party /Vendor
Address: 909 Palmers Grove Church Rd City Hillsborough State; NC Z' :27278 Department: Agin Amount:
$1,200 Purpose: wellness instructor Budget Code(s): 10430120 - 770105 dor # 58051 (N /A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check on R newal ® Amendment ❑
Effective Date 7/01/2018 Approved by Board Yes❑ No❑ Agenda Dat .
This agreement is approved as to technical form and content:
Department Director's Signature t 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 the Risk Management Officer Date: I Ir r
Einar 4vices
This instrument has been pre - audited in the man e re i e y the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: ezy y
Lej4al Services
This agreement is approved as to legal fo sufficiency:
Office of the County Attorney Date: 1 Zz
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sinaersoll e,oran eg countync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/17 5
Date: