HomeMy WebLinkAboutR 2019-615 Aging - Joan Cecil senior center instructor ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name : Joan Cecil Party/Vendor Contact Person : Contact Phone : Party/Vendor Address :
4211 Slim Elmore Ln City Efland State : NC Zip : 27243 Department : A in Amount: $ 4 , 000 Purpose : Senior
Center Instructor Budget Code(s) : 10430120 - 629000 Vendor # 63317 (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 ❑ Non 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 : ^ � �
Agreements for emergency services o �ie it are not subject to e 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 hardi-vare/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 :
113111 .Office of the Risk Management Officer Date :
Fi ci Services
This instrument has been pre - audited in the nner e ' d by the Local Government Budget and Fiscal Control Act :
Office of the Chief Financial Officer . Date : f /
LeV,al Services
This agreement is approved as to legal nd sufficiency :
Office of the County Attorney Date : �(1
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 : /� d
-0
Revised 12/ 18 4