Orange County NC Website
Browse       Search
DocuSign Envelope ID:OACCB29C-0691-414F-9F98-51B46D8CD387 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carson Stuart Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 903 Emory City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,000 Purpose: <br /> Wellness Instructor Budget Code(s): 29430320-630000 Vendor# 610928 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No[] Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> September 12,2016 Approved by Board Yes❑No[] Agenda Date: <br /> This agreement is approved as to technical forth and content: <br /> 5z5igned by: <br /> &Department Director's Signature fi�v Date: 9/13/2016 <br /> 67E962D1BF454FA... <br /> Information Technolosies <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 /> ""by:''11i1 Office of the Risk Management Office rDocuSigned <br /> llSA. ('6nt,ll b Date: 9j14/2016 <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 /> DocuSigned by: <br /> Office of the Chief Financial Officer Date: 9/14/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le � pfftciency: <br /> Office of the County Attorney � .- Date: 9/14/2016 <br /> 4035CE8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 />