R 2017-294-E Aging - Megan Peters for MAP intern

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DocuSign Envelope ID:AF90A043-3416-45FF-AC6E-9B7F0A829FC6 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Megan Peters Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 6123 Farrington Rd., Apt B6 City Chapel Hill State: NC Zip: 27517 Department: Aging Amount: $3,500 Purpose: MAP Intern Budget Code(s): 10430020-630120 Vendor#64561 (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: r---DocuSigned by: Department Director's Signature �aan lu. �'�l t 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---DocuSignedby: ll Office of the Risk Management Officer MSA. rbil&' tl6 Date: 7/12/2017 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 rI Date: 7/13/2017-7D4E5181 ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: p--DocuSigneedby��:♦�-�� Office of the County Attorney u�A. hark, 1Sr b 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