Orange County NC Website
Browse       Search
O � <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name : Seine Wolfe Party/Vendor Contact Person : Contact Phone : Party/Vendor <br /> Address : 909 Palmers Grove Church Rd City Hillsborough State : NC Zip : 27278 Department : Aging Amount : <br /> $ 1 , 200 Purpose : wellness instructor Budget Code (s) : 10430120 - 770105 Vendor # 58051 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type : (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date 7/01 /2019 Approved by Board Yes ❑ No ❑ Agenda Date : <br /> This agreement is approved as to technical form and content : <br /> Department Director ' s Signature Date : 700 � lg <br /> Information Technologies <br /> (Applicable only to hardware/sofhvare 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 /> t <br /> Office of the Risk Management Officer Date : / <br /> inan ial Services <br /> This instrument has been pre - audited in the ma re e by the Local Govermnent Budget and Fiscal Control Act : <br /> Office of the Chief Financial Officer Date : <br /> Legal Services <br /> This agreement is approved as to legal fora an suf ie cy : <br /> Office of the County Attorney Date : M 2.070 <br /> Clerk to the Board <br /> Received for record retention : <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion : singe_ rsoll � oranQecountync • 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 i Date : <br /> Revised 10/ 17 5 <br />