R 2015-511-E Aging - Katherine Moorehead for Senior Center instructor

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DocuSign Envelope ID: C6CE3B21-B93B-4DE9-92AB-69EOF2286C60 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Katherine Moorehead Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 204 Oak Avenue City Carrboro State: NC Zip: 27510 Department: Aging Amount: $4,000 Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 62625 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date September 15,2015 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical LgrgmeaVd content: , Department Director's Signature iU_ 'r b it Date: 9/15/2015 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 Paustu (;6 tt0 Date: 9/15/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner roc uired by the Local Government Budget and Fiscal Control Act: DocuSigned Office of the Chief Financial Officer 6vu Date: 9/16/2015 232DFFC2CFA847B... Legal Services This agreement is approved as to T;.zH�CB8304CA4M f gn :sufficiency: Office of the County Attorney ✓ 1� Date: 9/17/2015 ... Cle rk 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