HomeMy WebLinkAboutR 2019-582 Aging - Linda Mansmann wellness instructor DocuSign Envelope ID:A83B22E2-5247-4331-8149-B62BAAA1856F
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Linda Mansmann Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 8809 Farrington Mill Rd City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $6,000
Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#64737 (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:
DocuSigned by::
Department Director's Signature �Aln.ilt, +�t W Date: 7/1/2019
Agreements for emergency services NE9G2❑9BF454FA.. sect 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 Officer QU56 (h4 6 Date:8/26/2019
7FDCF9176900498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by: 8/27/2019
Office of the Chief Financial Officer 4 Date:
704E51S1ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
ocuSigned by:
Office of the County AttorneyC_�
��,O Date:8/27/2019
035CB8304CA4M
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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