R 2017-269-E Aging - Linda Textoris for wellness instructor

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DocuSign Envelope ID:B70A1079-3111-4AB6-9909-4036B3A4CO3D ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Linda Textoris Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 750 Weaver Dairy Rd., #204 City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $7,000 Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#58380 (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 anq content: ,---DocuSigned y: Department Director's Signature Jam« �� Date: 7/5/2017 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 a�S& by: ll Office of the Risk Management Officer rbYliut 16 Date: 7/6/2017 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 rl 4,1-41.1~- Date: 7/6/2017 `—7D4E5181 ACC 1409... Legal Services This agreement is approved as to legal form and sufficiency: r--DocuSigned by: Office of the County Attorney ate, hark, 1 sco Date: 7/6/2017 `—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