R 2017-260-E Aging - Michelle Rogers, Inc. for wellness instructor

Browse Search

DocuSign Envelope ID:3ECD34E0-30A5-406A-BBDE-EAF874C81FCD ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Michelle Rogers, Inc. Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 210 Virginia Lee Lane City Efland State: NC Zip: 27243 Department: Aging Amount: $2,400 Purpose: Wellness Instructor Budget Code(s): 10430120-770105 Vendor # 64462 (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 technical form and content: /^--DocuSigned by: Department Director's Signature �a�,tu. �i �t V Date: 6/30/2017 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: r---DocuSigned by: Office of the Risk Management Officer MSA '_ 'ull 16 7/3/2017 rbvvt Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: , ---DocuSigned by: Office of the Chief Financial Officer l'l Date:7/3/2017 7D4E5181ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: p--DocuSigned by: Office of the County Attorney abUAL L 1 sco Date: 7/3/2017 `—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