HomeMy WebLinkAboutR 2019-838 Aging - Seine Wolfe wellness instructor O �
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name : Seine Wolfe Party/Vendor Contact Person : Contact Phone : Party/Vendor
Address : 909 Palmers Grove Church Rd City Hillsborough State : NC Zip : 27278 Department : Aging Amount :
$ 1 , 200 Purpose : wellness instructor Budget Code (s) : 10430120 - 770105 Vendor # 58051 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type : (Check one) New ❑ Renewal ® Amendment ❑
Effective Date 7/01 /2019 Approved by Board Yes ❑ No ❑ Agenda Date :
This agreement is approved as to technical form and content :
Department Director ' s Signature Date : 700 � lg
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 :
t
Office of the Risk Management Officer Date : /
inan ial Services
This instrument has been pre - audited in the ma re e by the Local Govermnent Budget and Fiscal Control Act :
Office of the Chief Financial Officer Date :
Legal Services
This agreement is approved as to legal fora an suf ie cy :
Office of the County Attorney Date : M 2.070
Clerk to the Board
Received for record retention :
All Docusign contracts must be copied to Sherri Ingersoll upon completion : singe_ rsoll � oranQecountync • gov
The following signature block is for hard copies only and is not required for Docusign contracts :
Office of the Clerk to the Board i Date :
Revised 10/ 17 5