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DocuSign Envelope ID:3B829EAE-D58E-48A8-AFA4-D30D66525B5F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Linda Textoris Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 750 Weaver Dairy Rd City Chapel Hill State: NC Zip: 27514 Department: Aging Amount: $8,000 <br /> Purpose: Wellness Instructor Budget Code(s): 29430320-622000 Vendor#58380 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date 07/01/2019 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> D <br /> Docu5igned by: <br /> ���-1'' 6/24/2019 <br /> Department Director's Signature- e�Essz❑aeF454FA.. Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency Qocusigned by: '.s,specifications,and requirements: <br /> QCt$a �,4W�.t,{�6 <br /> Office of the Risk Management Officer_ Date: 6/27/2019 <br /> 7FDCF917E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docu5igned by: <br /> Office of the Chief Financial Officer �oaE�1a1ACCAN- Date: 6/27/2019 <br /> Legal Services <br /> This agreement is approved as to ooeusigned by: - cy: <br /> Office of the County Attorney Date: 6/27/2019 <br /> 4035C68304CA4M <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 12/18 <br /> 8 <br />