HomeMy WebLinkAboutR 2019-291 DEAPR - Wade Heverly volleyball camp DocuSign Envelope ID:OD814977-936A-4AO5-8664-932BBC81A6B1
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Wade Heverly Party/Vendor Contact Person: Wade Heverly Contact Phone: 919.451.9499
Party/Vendor Address: 104 Linnet Drive City Hillsborough State: NC Zip: 27278 Department: DEAPR-Recreation
Amount: $1,500.00 Purpose: Volleyball Sr. Summer Camp Instruction Budget Code(s): 10511020 630000 Vendor#
62401 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New
Renewal ❑ Amendment ❑ Effective Date June 24, 2019 Approved by Board Yes❑ No® Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
Department Director's SignaturLo AWJ NVA Date:5/22/2019
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc dawargWusystandards,specifications,and requirements:
r17FRPF91716e6498
Office of the Risk Management Officer �6 Date:5/22/2019
Financial Services
This instrument has been pre-audited i 4r> fflqWftquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 5/22/2019
Legal Services
This agreement is approved as t e^^ `�1W$Yid sufficiency:
Jb �r6� 5/23/2019
Office of the County Attorney Date:
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
D