HomeMy WebLinkAboutR 2019-596 DEAPR - JW Athletics basketball clinic DocuSign Envelope ID:7D61 F2DA-061 F-433A-ACF9-9DC2EB4F7996
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: JW Athletics Foundation Party/Vendor Contact Person: Jacob Wood Contact Phone: 919-563-
3531 Party/Vendor Address: 900 NC HWY 86 North City Hillsborough State:NC Zip: 27278 Department: DEAPR-
Recreation Amount: $2,835.00 Purpose: Basketball Clinics Budget Code(s): 10511020 630000 Vendor #
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date September 9,2019 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:
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Department Director's Signature Date:8/28/2019
611CFA1D507A495..
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 Wocusigned by: rds, specifications,and requirements:
aUsa �,DVIn.�,{�6 8/28/2019
Office of the Risk Management Office 7FDCF9176800498. Date:
Financial Services
This instrument has been pre-audited i DocuSigned by: the Local Government Budget and Fiscal Control Act:
I � � 8/30/2019
Office of the Chief Financial OfficerEroaslacc,4os. Date:
Legal Services
This agreement is approved as tcDEAA,D,,ED.A.,_
DlocuSigned by: iclency:
61LVI P Y s 9/3/2019
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
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