HomeMy WebLinkAboutR 2019-588 DEAPR - Nina Maier tai chi insutrction DocuSign Envelope ID: F3A4C6B8-197E-4AC7-957C-BA06CD2909A1
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: (919)732-2711
Party/Vendor Address: 3302 Pearson Road City Hurdle Mills State:NC Zip: 27541 Department: DEAPR-Recreation
Amount: $2,400.00 Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor# 51178 (N/A if new
vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑
Amendment ❑ Effective Date Sept. 3,2019 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:
DocuSigned1by:
Department Director's Signature y � bUTA4 Date8/26/2019
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 sufficient ®€ugaeuta�standards, specifications,and requirements:
Q�1Sa CbVU t{fb 8/26/2019
Office of the Risk Management Office Date:
Financial Services
This instrument has been pre-audited i 4mftwqdtwquired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 4�: Date:8/27/2019
Legal Services
This agreement is approved as to €omweaiaO sufficiency:
�D6Au I°bUfS 8/28/2019
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: 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
ICs