HomeMy WebLinkAboutR 2019-220 Aging - Ruth Merrick instructor contract DocuSign Envelope ID:98441AC0-98B7-459F-80FE-32FEA12F44D6
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Ruth Merrick Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 215 S Hillsborough Ave City Hillsborough State: NC Zip: 27278 Department: Aging Amount: $3,000
Purpose: classes Budget Code(s): 10430120-629000 Vendor# 58822 (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:
Wcusigned by:
Department Director's Signature � t Date: 2/20/2019
Agreements for emergency services or__r B7Egsz❑1BF454FAJ. -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:
Wcu5igneed_by,
.
Office of the Risk Management Officer 9US66 `r'6 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:
Docu5igned by:
Office of the Chief Financial Officer 4 . Date: 2/22/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County AttorneyC_�
�.�.{,t�, �,�_ Date:4/8/2019
035CB8304CA4M
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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