HomeMy WebLinkAboutR 2018-464 Aging - Kathleen Hammon wellness instructorORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party/Vendor Name: Kathleen Hammon Party /Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1102 E Franklin St City Chapel Hill State: NC Zip: 27514 Depart ent: Aging Amount: $3,000 Purpose:
wellness instructor Budget Code(s): 10430120 - 770105 & 29430320 -63000 Vendor # 56311 (N /A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) eW enewal ® Amendment ❑
Effective Date 7/01/18 Approved by Board Yes❑ No❑ Agenda Date: IWI &
This agreement is approved as to technical form and content:
Department Director's Signature Date: S-120-101V
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:
g
Nii ervices
This instrument has been pre - audited in the ne the Local Government Budget and Fiscal Control Act:.
Office of the Chief Financial Officer Date: S Z CS
Legal Services
This agreement is approved as to legal form a d ficiency:
Office of the County Attorney Date: d
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin eg rsoll@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:
Revised 10/17 (Mgr appry 5k 6/18) 4