R 2016-244-E Aging - Jessica Pulliam for Master Aging Plan Summer Intern

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DocuSign Envelope ID:2042F21A-A40F-451 B-99C9-EE532EE2CD13 ORANGE COUNTY—DEPARTMENT USE ONLY Deuartment Party/Vendor Name: Jessica Pulliam Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 112 Chestnut Street City Durham State: NC Zip: 27707 Department: Aging Amount: $4,000 Purpose: Master Aging Plan Summer Intern Budget Code(s): 10430020-630120 Vendor # 63772 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 05/09/16 Approved by Board Yes❑Nor-1 Agenda Date: This agreement is approved as to techni A" content: Department Director's Signature � Date: 5/5/2016 B7E962D18F454FA... 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: ''11ii Office of the Risk Management Officer US. rbvvtcal6 Date: 5/6/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer Date: 5/6/2016 7D4E5181AC11409... Legal Services This agreement is approved as to legal form and sufficiency: ocuSigned by: Office of the County Attorney E�� EK Date: 5/9/2016 403516831411419... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL&oranaecountync.Qov 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 1/16 4