R 2017-244-E Aging - Connie Winstead for wellness instructor

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DocuSign Envelope ID:689CF72F-617F-4F08-Al2D-93F9518E9BBB ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Connie Winstead Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 3000 Montgomery St City Durham State: NC Zip: 27705 Department: Aging Amount: $5,000 Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#57329 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 7/01/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technic fnewi :content: �al�,iu Department Director's Signature 1-11 Date: 6/26/2017 B7E962D1BF454FA... 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: /^--DocuSigned_by: 'll Office of the Risk Management Officer MS& COVln, b Date: 6/27/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the ma nnee required by the Local Government Budget and Fiscal Control Act: 6/27/2017 Office of the Chief Financial Officer (1'161 ` °" a°9Z Date:-7D4E5181 ACC1409... Legal Services This agreement is approved as to legal Efort ar�4 sufficiency: � ocu igne y: a hark, t e 6/27/2017 Office of the County Attorney Date: 079A4D525C0F4FB... 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 2/17 5