R 2017-048-E Aging - Brooke Hess for Master Aging Plan Intern

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DocuSign Envelope ID:98AB524B-CBE4-4E59-83E6-E8216C713957 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Brooke Hess Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 218 Crystal Circle City Mooresville State: NC Zip: 28117 Department: Aging Amount: $1,200 Purpose: Master Aging Plan Intern Budget Code(s): 10430020-630120 Vendor# 64283 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date February 1,2017 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: r---DocuSigned by: DocuSigned by: Department Director's Signature i tct- Date: ia-tAA - 1 B7E962D1 BF454FA... B7E962D1 BF454FA... 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: r^--DocuSigned_by: 'll ,tl6 Office of the Risk Management Officer aMtS& Cbvwc Date: 1/30/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: r^--DocuSigned by: Office of the Chief Financial Officer Date: 1/30/2017 —7D4E5181 ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: r---DocuSigned by: Office of the County Attorney Date: 1/31/2017 `— 4035CB8304CA4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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