R 2017-296-E Aging - Lorraine Lewis for wellness instructor

Browse Search

DocuSign Envelope ID:656DF690-72BC-42BC-9E47-7038084D8FFA ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Lorraine Lewis Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: 107 Morningside Drive City Carrboro State: NC Zip: 27510 Department: Aging Amount: $1,500 Purpose: Wellness Instructor Budget Code(s): 29430320-630000 Vendor#57608 (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 J 10-- � Date: 7/11/2017 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---DocuSiggwcned_by: 'll ,tl6 Office of the Risk Management Officer aMMS& Cov 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: f ---DocuSigned by. Office of the Chief Financial Officer rl Art. a— Date: 7/13/2017 —7D4E5181 ACC1409... Legal Services This agreement is approved as to legal form and sufficiency: p--DocuSigned by: Office of the County Attorney ate, hark, 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