Orange County NC Website
Browse       Search
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Triangle J Council of Governments Area Agency on Aging Party/Vendor Contact Person: <br /> Mary Warren Contact Phone: 919-558-2707 Party/Vendor Address: 4307 Emperor Blvd., Ste. 110 City Durham(1� <br /> State: NC Zip: 27703 Department: Arming Amount: $3,500 Purpose: MIPPA/SHIIP Outreach Budget Code(s):',{CxJ` - <br /> 10432005-444128 Vendor#5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[:] Contractl_ <br /> Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 10/01/2016 Approved by Board Yes❑ <br /> Nor-1 Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Date: -mss <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 /> Office of Risk Management �(.L�=— j-0 Date:_*_Vh 7 <br /> inanciaJ Services <br /> This instrument has been pre-audited in the ner r uii ed the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer A Date: 7 <br /> 7 Legal Services <br /> This agreement is approved as to leg fo s iciency: <br /> Office of the County Attorney' Date: d 1� <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />