HomeMy WebLinkAboutR 2019-107 Aging - Luna Ray instructor DocuSign Envelope ID:A3147042-06BA-4E16-BE25-5CBFAC5BA2DD
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Luna Lee Ray Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: P O Box 1372 City Carrboro State: NC Zip: 27510 Department: Aging Amount: $2,000 Purpose:
classes Budget Code(s): 10430120-629000 Vendor#48614 (N/A if new vendor) Vendor is a BOCC consultant?
Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date March 1, 2019
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's Signature � �t�t,_r Date: 2/20/2019
67Eg62D1BF454FA..
Agreements for emergency services—.IF— u...,—,�4�ject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
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:
DocuSigned by:
Office of the Risk Management Officer �U56 (,DV1n 6 Date:2/20/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Officer A Iw Date:2/22/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney ��,�� f� Date:
2/22/2019
4035CB8304CA4Ae
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:
Revised 12/18
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