R 2015-427-E Aging - Stave Movement Foundation for wellness instructor

Browse Search

DocuSign Envelope ID:OD740226-7CEO-4689-8080-9211 D927618B ORANGE COUNTY-DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Stave Movement Foundation Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 2105 Kellam City Apex State: NC Zip: 27502 Department: Aging Amount: $1,500.00 Purpose: wellness instructor Budget Code(s): 29430320-630000 Vendor 4 62950 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2015 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technic form bpd content: ocu&gned by: Department Director's Signature [_� « �x Date: 6/30/2015 B7E962D1BF454FA... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: ---DocuSigned""by:''1L QUS- 66vvt,e 6 7/28/2015 Office of the Risk Management Officer Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the nq greryguired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer _ �MAL bvu Date: 8/12/2015 232DFFC2CFA847B... Legal Services This agreement is approved as to le %AM4,sufficiency: Office of the County Attorney s 1� Date$/12/2015 4035CB8304CA4A9... 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