HomeMy WebLinkAboutR 2019-434 DEAPR - Edward Larson chess camp instruction DocuSign Envelope ID:63F8DC2B-38CC-46A3-90BF-039464DE01E5
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Edward Larson Party/Vendor Contact Person: Edward Larson Contact Phone: 919.636.2889
Party/Vendor Address: 610 Elin Court City Hillsborough State: NC Zip: 27278 Department: DEAPR-Recreation
Amount: $1,696.00 Purpose: Chess Lessons and Chess Jr. and Sr. Summer Camps Instruction Budget Code(s):
10511020 630000 Vendor# 64469 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date May 16,2019 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:
q�DocuSigned by:
yla�� Sf�.uL 6/24/2019
Department Director's Signature 611CFA1D507A495.. 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 sufficienc, 26ocusigned ay:' ds,specifications,and requirements:
Office of the Risk Management Officer QCisa (,DV1n. 6 Date:7/12/2019
7FDCF0176800498.
Financial Services
This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:7/12/2019
7NE5181ACC1409.
Legal Services
This agreement is approved as tc Do cusigned by, iciency:
Office of the County Attorney Date:7 12 2019
EAA3833E88A84S5..
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