HomeMy WebLinkAboutR 2019-169 Aging - Vicki Robertson sign language instruction.doc DocuSign Envelope ID: F55AA6B7-2D6E-47FD-B857-A3239E703DC3
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Vicki Robertson Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 222 Bradshear Road City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $300.00
Purpose: Sign language classes Budget Code(s): 10430120-629000 Vendor#N/A (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date
March 11,2019 Approved by Board Yes❑Nor-1 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'sSignatu �aan,ilt, +�tt,Y' Date: 3/11/2019
Agreements for emergency service B7E9G2❑1BF454FA.. ibject 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 Office aUSX Cb�6 Date: 3/12/2019
7FDCF917e800498.
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 Officerlr7NE5181ACC1409
3/13/2019
� � Date: _
.
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorne EJ,1 f Date: 3/14/2019
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 4