R 2016-463-E Aging - Sheila Kerrigan - class instructor

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DocuSign Envelope ID: D89F1119-29EB-43DC-99DD-F1510FB8BB81 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Sheila Kerrigan Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 2310 Stansbury Rd City Chapel Hill State: NC Zip: 27516 Department: Aging Amount: $1,000 Purpose: class instructor Budget Code(s): 10430120-629000 Vendor # 63977 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 08/15/2016 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical fgrm abed content: ocu igned Y. Department Director's Signature �WAA*U_ �W Date: 8/10/2016 67E962D1BF454FA... Information Technolosies (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: Docu5igned""by: ''1111 Office of the Risk Management Officer FllS. rvu& Date: 8/11/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner reuired by the Local Government Budget and Fiscal Control Act: DocuSigned by'. Office of the Chief Financial Officer (' �°n.�l Date: 8/16/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legapforsmnand sufficiency: Office of the County Attorney Date: 8/17/2016 4035CE8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.gov 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 6/16 4