HomeMy WebLinkAboutR 2019-591 DEAPR - Edward Larson chess instruction DocuSign Envelope ID:5C7208B6-A7C4-4B46-9DB4-28BA397150B2
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: $1,008.00 Purpose: Chess 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 Sept. 12,2019 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: r
Department Director's Signature1P611r-FA1D507A405.
awl �f� � Date8/28/2019
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 sufficienc -Diocusigned by: 'ds, specifications,and requirements:
aUsa ( Q� 6 8/28/2019
Office of the Risk Management Officer 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited it ' DocuSigned by: ' '' the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Ir
4 � Date8/30/2019
7D4E5181ACC1409.
Legal Services
This agreement is approved as t DocuSigned by: :iciency:
�6� �6�t4 5 9/3/2019
Office of the County Attorney EAA3D33EDSA84s5.. 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
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