R 2015-525-E Aging - Joan Cecil for Senior Center instructor

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DocuSign Envelope ID: CC66DB06-25D7-4526-9AA1-C57774CCE216 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Joan Cecil Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 4211 Slim Elmore Lane City Efland State: NC Zip: 27243 Department: Aging Amount: $3,000 Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 63317 (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 form and content: DocuSigned by: ' Department Director's Signatur 0B7E962D1BF454FA UU_ �`� Date: 9/22/2015 ... 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:''11LL Office of the Risk Management Officer 5&4L (,6n e& Date: 9/23/2015 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned y: Office of the Chief Financial Officer I—NAL blti Date: 9/23/2015 232DFFC2CFA847B... Legal Services This agreement is approved as to legal form adnbd sufficiency: DocuSign Office of the County Attorney FAI InkL Date: 9/23/2015 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