Orange County NC Website
Browse       Search
DocuSign Envelope ID: F3A4C6B8-197E-4AC7-957C-BA06CD2909A1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Nina Maier Party/Vendor Contact Person: Nina Maier Contact Phone: (919)732-2711 <br /> Party/Vendor Address: 3302 Pearson Road City Hurdle Mills State:NC Zip: 27541 Department: DEAPR-Recreation <br /> Amount: $2,400.00 Purpose: Tai Chi Instruction Budget Code(s): 10511020 630000 Vendor# 51178 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date Sept. 3,2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned1by: <br /> Department Director's Signature y � bUTA4 Date8/26/2019 <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 was <br /> 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 sufficient ®€ugaeuta�standards, specifications,and requirements: <br /> Q�1Sa CbVU t{fb 8/26/2019 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited i 4mftwqdtwquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 4�: Date:8/27/2019 <br /> Legal Services <br /> This agreement is approved as to €omweaiaO sufficiency: <br /> �D6Au I°bUfS 8/28/2019 <br /> Office of the County Attorney Date. <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 4 DS <br /> ICs <br />