Orange County NC Website
Browse       Search
DocuSign Envelope ID:270479C5-FCF2-4407-B265-35CF6C5408CF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Kathleen Hammon Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 1102 E Franklin St City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $4,000 Purpose: <br /> Wellness Instructor Budget Code(s): 10430120-770105 Vendor#56311 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 28, <br /> 2016 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technicgo fgrm yd. content: <br /> 5 Department ,u, -�l y Director's Signature Date: 8/20/2016 <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 /> F&O,DocuSignedby:Office of the Risk Management Officer rbvvutl6 Date: 8/22/2016 <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 /> ocuSigned b <br /> Office of the Chief Financial Officer F��N Date: 8/22/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le, l fo n� id sufficiency: <br /> ocu vgne y: <br /> 8/Z3/2016 <br /> Office of the County Attorney � Date: <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync•gov <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 6/16 5 <br />