HomeMy WebLinkAboutR 2019-363 Aging - Barbara Lang yoga instructor DocuSign Envelope ID: B9188346-CODE-4FEO-8502-F4BE6A7B75A1
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Barbara Lang Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 905 Cedar Fork Trail City Chapel Hill State:NC Zip: 27514 Department: Aging Amount: $4,950 Purpose:
Wellness Instructor Budget Code(s): 29430320-630000 Vendor# 58627 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
07/01/2019 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's SignatureJo ]B7E962D1BF454FA..
Alrt,if�, tt,Y' Date: /21/2019
Agreements for emergency services A 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 aUS& (b_ b Date: 6/22/2019
7FDCF9176800498.
Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
DocuSigned by:
Office of the Chief Financial Officer 4 Date: 6/23/2019
704E51S1ACC1409.
Legal Services
This agreement is approved as to 1Pv 1 fnrm am „ff o.if-nCy:
DocuSigned by:
Office of the County Attorney +s t� AM,_ Date: 6/24/2019
4035C68304CA4M
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