R 2016-480-E Aging - Valerie Roberts - class instructor for bridge classes

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DocuSign Envelope ID: BF58B679-3E72-4E65-9CE1-660060E30114 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Valerie Roberts Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 1501Kirkwood Drive City Durham State: NC Zip: 27705 Department: Aging Amount: $5,000 Purpose: class 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 09/01/2016 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to technical form end content: hh ocu5igne by: J Date: 8/19/2016 Department Director's Signature AVtdGt 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: Docugnedby: Office of the Risk Management Officer FauSi s . r,6nAA111111 6 Date: 8/22/2016 7FDCF9176800498... Financial Services This instrument has been pre-audited in the pa a geed>c uired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer (� `�°'�" °'v Date: 8/22/2016 7D4E5181ACC1409... Legal Services This agreement is approved as to legal forth and sufficiency: DocuSigned by: Office of the County Attorney Date:8/23/2016 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 5