HomeMy WebLinkAboutR 2020-221 Aging - Vanessa Brown wellness instructor.doc DocuSign Envelope ID:966ABF38-DF61-4A4B-9D14-5860C3076B9B
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Vanessa Brown Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1216 Farm Leaf Drive City Durham State: NC Zip: 27703 Department: Aging Amount: $1,500 Purpose:
Senior Center Instructor Budget Code(s): 10430120-629000 Vendor # 66027 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date
03/10/2020 Approved by Board Yes❑Nor-1 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:
Docu5igned by:
Department Director's SignaturCINE962DIBF454FA
��� Date: 3/10/2020
Agreements for emergency services or r 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-- Wcus9ued by:-` --.rds, specifications,and requirements:
aUS66 wu 6
Office of the Risk Management Office Date: 3/11/2020
7F6CF9178800498...
Financial Services
This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act:
('� '�' � 3/11/2020
Office of the Chief Financial Officer 7D4 81ACC140s... Date:
Legal Services
This agreement is approved as to Docusigned by: - icy:
3/11/2020
Office of the County Attorney 4035CB8304A4A�...
0� CA4 Date:68
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