HomeMy WebLinkAboutR 2019-382 Aging - Linda Textoris wellness instructor DocuSign Envelope ID:3B829EAE-D58E-48A8-AFA4-D30D66525B5F
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Linda Textoris Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 750 Weaver Dairy Rd City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $8,000
Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#58380 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑
Effective Date 07/01/2019 Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work
on this project has not been initiated prior to execution of the agreement:
D
Docu5igned by:
���-1'' 6/24/2019
Department Director's Signature- e�Essz❑aeF454FA.. Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency Qocusigned by: '.s,specifications,and requirements:
QCt$a �,4W�.t,{�6
Office of the Risk Management Officer_ Date: 6/27/2019
7FDCF917E800498.
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 �oaE�1a1ACCAN- Date: 6/27/2019
Legal Services
This agreement is approved as to ooeusigned by: - cy:
Office of the County Attorney Date: 6/27/2019
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
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