Orange County NC Website
ta (t�_ 1/��5 <br />ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: Triangle J Council of Governments Area Agency on Aging Party/Vendor Contact Person: <br />Ellison Jones Contact Phone: 919.558.2909 Party/Vendor Address: 4307 Emperor Blvd., Suite I 10 City Durham <br />Atate: NC Zip: 27703 Department: Aging Amount: $57,538 Purpose: NC Family Caregiver Support Program <br />Budget Code(s): 10432005- 444106. Vendor # 5855 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br />No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/01/2018 Approved by <br />Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />Department Director's Signature Qg,,14� Date: <br />0 1 14 <br />Information Technologies <br />(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />a <br />Office of Risk Management (�_ Date: <br />This instrument has been pre- audited <br />Act: <br />Office of the Chief Financial Officer <br />Legal Services <br />ment Budget and Fiscal Control <br />Date: <br />This agreement is approved as to legal form sufficiency: <br />Office of the County Attorney Date: �S 2� <br />TI <br />Clerk to the Board <br />Received for record retention: <br />Office of the Clerk to the Board Date: <br />Revised 2/17 <br />