HomeMy WebLinkAboutR 2019-513 Aging - David Sovero wellness instructor OQDl - L
ORANGE COUNTY DEPARTMENT USE ONLY
Party/Vendor Name : David Sovero Party/Vendor Contact Person : Contact Phone : Party/Vendor
Address : 300 Durant St, Apt . 303 City Chapel Hill State : NC Zip : 27517 Department : Aging Amount : $ 9 , 000
Purpose : Senior Center Instructor Budget Code(s) : 10430120 - 629000 Vendor # 57151 (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 :
Department Director ' s Signature Date : Zoe �9
Agreements for emergency servicesarrepaare not subject to t 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/sofhvare 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 !IL IIL5 Date : I �
c►
Financial Services
This instrument has been pre- audited in the in er is u ' d by the Local Government Budget and Fiscal Control
Act . t�
Office of the Chief Financial Officer Date : / l
Legal Services
This agreement is approved as to legal fo n sufficiency :
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 : smgersoll@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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