R 2017-292-E Aging - Karah Daniel for wellness instructor

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DocuSign Envelope ID:3A52CFE5-F54A-4AFA-9379-DE1 ECDA941 E6 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Karah Daniel Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: PO Box 9388 City Chapel Hill State: NC Zip: 27515 Department: Aging Amount: $2,500 Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#63090 (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 JiLUtAu. I t1Lt-V' Date: 7/12/2017 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 Yby:'ll ,t16 Office of the Risk Management Officer aMtS& Cbrwc Date: 7/13/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: ,----DocuSigned 7/13/2017 Office of the Chief Financial Officer �� Date:-7D4E5181 ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: p--DocuSigned by: Office of the County Attorney avAA t, L 1 sco Date: 7/13/2017 `—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