R 2017-281-E Aging - Michael Savino for wellness instructor

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DocuSign Envelope ID:3B89DDCF-489D-4FD8-ADD3-0135D80D7084 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Michael Savino Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 505 Long Leaf Drive City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,000 Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#44715 (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-I"-' (,V Date: 7/7/2017 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 MS& Cbb Date:7/10/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: , ---DocuSigned by: 7/10/2017 Office of the Chief Financial Officer rl 4,1-41.1~- Date: `—7D4E5181 ACC 1409... Legal Services This agreement is approved as to leAl fottn� d sufficiency: fi ocu rigne abl.btd, hark, -Nto Office of the County Attorney Date: 7/10/2017 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