HomeMy WebLinkAboutR 2018-575 Health - Youth Empowered Solutions coaching programRevised 10/17 (Mgr apprv 5k 6/18)
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Youth Empowered Solutions (YES!) Party/Vendor Contact Person: Jessica Daniels Contact
Phone: 404-964-5321 Party/Vendor Address: 4021 Carya Drive, Suite 160 City Raleigh State: NC Zip: 27610
Department: Health Amount: $4,000 Purpose: Consultative coaching to revamp TRU Club program Budget Code(s):
10412020-630000-71459 Vendor # 65310 (N/A if new vendor) Vendor is a BOCC consultant? Yes No
Contract Type: (Check one) New Renewal Amendment Effective Date 10-1-18 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 conte nt 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: 2A186D1A-DC0C-4AF3-A358-6DD18C89D561
9/19/2018
9/19/2018
9/19/2018
9/19/2018