Orange County NC Website
Browse       Search
DocuSign Envelope ID: E2F57DC2-1B6D-4E6E-8305-D7B1E8BE9124 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Russell Knopp Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 1021 Alexander Steward Dr City Hillsborough State: NC Zip: 27278 Department: Aging Amount: <br /> 7 800 Purpose: Senior Center Instructor Budget Code(s): 10430120-629000 Vendor # 44521 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ 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 /> DocuSigned by: <br /> Department Director's Signature 51AaMU_ b-r Date: 8/27/2019 <br /> Agreements for emergency services Owikawa,qjWubject 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 of insurance standards, specifications,and requirements: <br /> DocuSigned"" b by:''11 <br /> Office of the Risk Management OfficerPUSA, rbrvu Date:8/27/2019 <br /> 7FDCF9176800498... <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 /> cuSigned by: 8/27/2019 <br /> Office of the Chief Financial Officer Do s�P,ia�a�sc Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney Date: 8/27/2019 <br /> 4035CB8304CA4A9... <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 />