HomeMy WebLinkAboutR 2019-509 Aging - Katherine Leith Senior Times editing ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name : Katherine Leith Party/Vendor Contact Person : Contact Phone : Party/Vendor
Address : 36 Clover Lane City Chapel Hill State : NC Zip : 27517 Departments Agin Amount : $ 4 , 000 Purpose :
Senior Times Budget Code ( s) : 10430120 - 620000 Vendor # 52922 (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 :
Department Director ' s Signature ._..� Date : r ' .s=/7
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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 :
Office of the Risk Management Officer atAi.. Date : ! f
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ervices
This instrument has been pre- audited in theAe the Local Government Budget and F ' cal Control Act :
Office of the Chief Financial Officer Date : 2
Legal Services
This agreement is approved as to legal fo nd sufficiency :
Office of the County Attorney Date :
Clerk to the Board
Received for record retention :
All Docusign contracts must be copied o Sherri Ingersoll u on completion : smgersoll a, orangecountync • gov
The following signature block is for h d copi d i of required for Docusign contracts :
Office of the Clerk to the Board Date : r
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Revised 10/ 17 (Mgr appry Sk 6/ 18 ) a�� W
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