HomeMy WebLinkAboutR 2019-497 Aging - Lindsey Ray wellness instructor DocuSign Envelope ID:2602A108-A665-43B3-826A-26E7C4856C80
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Luna Lee Ray Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: PO Box 1372 City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,800 Purpose: Senior
Center Instructor Budget Code(s): 10430120-629000 Vendor # 48614 (N/A if n 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 Signature J U_ fi ltr Date: 7/28/2019
Agreements for emergency services W@2atWMf,%ubject 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 OfficerQ�tSa nt. 0 Date: 7/29/2019
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
gned by:
Office of the Chief Financial Officer DocuSi Date: 7/29/2019
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney Date:7/29/2019
4035CB8304CA4A9...
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