HomeMy WebLinkAboutR 2019-108 Aging - Russell Knopp instructor DocuSign Envelope ID:280C3E42-170E-4BEF-AB33-D865C5B92DA2
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Russell Knopp Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1021 Alexander Stewart Dr City Hillsborough State: NC Zip: 27278 Department: Aging Amount:
3 000 Purpose: classes Budget Code(s): 10430120-629000 Vendor#44521 (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 �Aan.[Gt, +�tt,Y' Date: 2/20/2019
Agreements for emergency services or - B7E962D1BF454FA.. t 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 QU56 (h4 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.&I. Date: 2/22/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney 4"" Date.2/22/2019
4035CB8304CA4M
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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