R 2015-225-E Aging - Julia Katz for summer intern

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DocuSign Envelope ID: 447D9587- 9945- 4A94- A452- 8EDF7406B837 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party /Vendor Name: Julia Katz Party /Vendor Contact Person: Contact Phone: Party /Vendor Address: 105 Fidelity Street, B17 City Carrboro State: NC Zip: 127510 Department: Aging Amount: $3,000 Purpose: MAP Summer Intern Budget Code(s): 10430020 - 630120 Vendor # NIA (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date May I5 2015 Approved by Board Yes ❑ No ® Agenda Date : This agreement is approved as to technical form and content: DocuSigned by: Cj5/15/2015 �� Department Director's Signatur Date: B7E962D1 BF454FA... Information Technologies (Applicable only to hardwarelsoftware 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 Risk Management Date: This agreement is approved for sufficiency of insurance standards, specifications, and requirements: DocuSigned by: F ce USA, (hV'Vt.11�d 5/18/2015 Offi of the Risk Management Officer Date: 7FDCF9176800498... Financial Services This instrument has been pre - audited i gun required by the Local Government Budget and Fiscal Control Act: P&LkL Office of the Chief Financial Officer Date: 5/25/215 232DFFC2CFA847B... Legal Services This agreement is approved as to le �laLqg egigd sufficiency: Office of the County Y Attorne A�-� Date: 5/26/2015 4035CB8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion , Dolloyd(c -Ora ecountyne. o� The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Revised 10114 4 Date: