R 2015-344-E Aging - Lorraine Lewis for wellness instructor

Browse Search

DocuSign Envelope ID:8CBFE2F1-1CBA-4556-8389-C7586951FC5D ORANGE COUNTY-DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Lorraine Lewis Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 104 Jones Ferry Road, Suite H City Carrboro State:NC Zip: 27510 Department:Aging Amount: $1,500.00 Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 57608 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2015 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form and content: DocuSigned by: Department Director's Signature 5 U_ -Ar Date: 7/8/2015 B7E962D1BF454FA... 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 sufficiency of insurance standards,specifications,and requirements: DocuSigned""by: ''111L Office of the Risk Management Officer PAUStL (,6vt e& Date: 7/20/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the pargeebequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer b�' Date: 7/21/2015 232DFFC2CFA847B... Legal Services This agreement is approved as to g, :sufficiency: Office of the County Attorney t7-0 1� Date: 7/21/2015 B8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v 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 10/14 4