Orange County NC Website
Browse       Search
DocuSign Envelope ID:6374FO2A-5953-4922-9A2E-8F689B00546D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pamela Baggett Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 8800 Wilkerson Road City Cedar Grove State: NC Zip: 27231 Department: Aging Amount: $2,400 <br /> Purpose: senior centers instructor Budget Code(s): 10430120-629000 Vendor 4 63179 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective <br /> Date September 15,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature �a�n,tGt fi� Date: 10/28/2015 <br /> B7E962D1BF454FA... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> [—DocuSigned""by:''111L <br /> Office of the Risk Management Officer AUS. (,bVt e& Date:10/29/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSign__ed by: <br /> Office of the Chief Financial Officer +(� vbvu Date: 10/29/2015 <br /> 232DFFC2CFA847B... <br /> Legal Services <br /> This agreement is approved as to legal p fo gmdabnd sufficiency: <br /> Office of the County Attorney Date: 10/29/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 4 <br />