HomeMy WebLinkAboutR 2019-339 Aging - TJCOG SEEA grant Handy Helpers program 97
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ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : Triangle J Council of Governments Party/Vendor Contact Person . Erika Brown Contact
Phone : Party/Vendor Address : 4307 Emperor Boulevard City Durham State : NC Zip : 27703 Department .
Aging_ Amount : $ 10 , 000 Purpose : Handy Helpers Program Budget Code (s) : New Vendor # 5855 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type . (Check one) New x Renewal ❑
Amendment ❑ Effective Date 7/ 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 .
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Department Director ' s Signature Date : 1 did "/A02'
Agreements for emergency services o ep are not subject to e 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/sofhvare 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 :
Office of the Risk Management Officer Dater
Finan ill Services
This instrument has been pre - audited in 7theuired by the Local Government Budget and Fiscal Control
Act :
Office of the Chief Financial Officer Date : C
Legal Services
This agreement is approved as to legal anc f ciency ,
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 : smgersoll@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