HomeMy WebLinkAboutR 2019-269 DEAPR - Elena Marinina piano instruction DocuSign Envelope ID:ABDF8B22-F2D4-4361-BFAA-FD037C3969B9
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Elena Marinina Party/Vendor Contact Person: Elena Marinina Contact Phone: 919.943.6451
Party/Vendor Address: 3213 Anandale Rd. City Durham State: NC Zip: 27705 Department: DEAPR-Recreation
Amount: $3,000.00 Purpose: Piano Summer Camps Instruction Budget Code(s): 10511020 630000 Vendor# 61078
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date June 17,2019 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:
awlDocuSigned by:Department Director's Signature1P.,
gawa Date:5/9/2019
ICFA1D507A405..
Agreements for emergency services or repair are not subject 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- -r oocusigued by:- -ds,specifications,and requirements:
aUS66 �,bV1rt.0 6 5/9/2019
Office of the Risk Management Officer Date:
7FDCF9178800498.
Financial Services
This instrument has been pre-audited itIr
DocuSigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 4 � Date: 5/9/2019
7NE5181 AM A0B.
Legal Services
This agreement is approved as tc DocuSigned by: iciency:
�6� K6kG' S 5/10/2019
Office of the County Attorney Date:
EAA3033E08AE4S5..
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
Ds
GS