Orange County NC Website
DocuSign Envelope ID: 1168E491-7D33-4742-94FF-8843288020BB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Luna Lee RE Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address:PO Box 1372 City Carrboro State:NC Zip: 27510 Department: Aging Amount: $3,000.00 Purpose: senior <br /> centers instructor Budget Code(s): 10430120-629000 Vendor 4 48614 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1, <br /> 2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic^a�fo na d:content: <br /> ocu Department Director's Signature ,tU r Date: 6/28/2015 <br /> B7E962D1BF454FA... <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> riustu DocuSigned""by:''11LL <br /> Office of the Risk Management Officer (;n e& Date: 6/29/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the r�oanp g�e�bpired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer_ m Date: 6/29/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to le akfAn":sufficiency: <br /> Office of the County Attorney 1�, Date: 6/29/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <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 /> Revised 10/14 4 <br />