R 2015-526-E Aging - Valerie Roberts for Senior Center instructor

Browse Search

DocuSign Envelope ID: CDDCF87A-DD30-43EC-B3DD-EA5D001578C1 ORANGE COUNTY—DEPARTMENT USE ONLY Department l Party/Vendor Name: Valerie Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 1501 Kirkwood Drive City Durham State: NC Zip: 27705 Department: AjAg Amount: $8,000 Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor # 61484 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date j 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 Signature , OJA,& fi Date: 9/22/2015 f B7E962D1BF454FA... €.. Information TechnoloEies r (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: f Risk ManaEement t i This agreement is approved for sufficiency of insurance standards,specifications,and requirements: DocuSigned"by: ' Office of the Risk Management Officer Aura. 66V17t 6 Date: 9/23/2015 h 7FDCF9176800498... Financial Services This instrument has been pre-audited in the,m�Fybrequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office r&(At (, U 6VU Date:9/23/2015 f 232DFFC2CFA847B... I LeEal Services I This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney Date: 9/23/2015 � 4035CB8304CA4A9... �I Clerk to the Board I Received for record retention: i All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo dy�rt oran eg coun nc,gov 4 The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: E E; I f i i' Revised 10/14 4 is c