Orange County NC Website
Browse       Search
<br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NC Division of Aging and Adult Services Party/Vendor Contact Person: Alicia Blater <br /> Contact Phone: Party/Vendor Address:2101 Mail Service Center City Raleigh State: NC Zip: 27699 <br /> Department: Aging Amount: Purpose: AMENDMENT TO EXISTING CONTRACT—DATE CHANGE ONLY <br /> Budget Code(s): 10432005-444121 Vendor#468 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 03/21/15 Approved by <br /> Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: . -/.3 <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer X Date: <br /> Risk Management E--!! <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements:Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: c <br /> Office of the Chief Financial Officer 1 1 Date: <br /> O� <br /> Legal Services <br /> This agreement is approved as to legal and sufficiency: <br /> Office of the County Attorney Date: 13 5 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydna oran eg�countync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br />