Orange County NC Website
Browse       Search
DocuSign Envelope ID:AAB8A729-BEDF-4F5C-9AAD-7D449E68FC28 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Arlene Bynum-Mills Party/Vendor Contact Person: Contact Phone: <br /> Party/Vendor Address: 4816 Barbee Rd City Durham State: NC Zip: 27713 Department: Aging Amount: <br /> 9 0000 Purpose: fitness studio Budget Code(s): 10430020-630120 Vendor # 64460 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ <br /> Effective Date 01/20/2019 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature�IUE962MBF454=A. <br /> �tu_ _b+' Date:l/27/2019 <br /> . <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer �USa �,bV1n.C,{�6 Date:1/28/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer (' 0 � Date: 1/30/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney ��,�� f�ay� Date: <br /> 1/30/2019 <br /> 4035CB8304CA4Ae <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg solIkoran eg countync•gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 10/17 <br /> 8 <br />