Orange County NC Website
Browse       Search
DocuSign Envelope ID:966ABF38-DF61-4A4B-9D14-5860C3076B9B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Vanessa Brown Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 1216 Farm Leaf Drive City Durham State: NC Zip: 27703 Department: Aging Amount: $1,500 Purpose: <br /> Senior Center Instructor Budget Code(s): 10430120-629000 Vendor # 66027 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date <br /> 03/10/2020 Approved by Board Yes❑Nor-1 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 /> Docu5igned by: <br /> Department Director's SignaturCINE962DIBF454FA <br /> ��� Date: 3/10/2020 <br /> Agreements for emergency services or r 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-- Wcus9ued by:-` --.rds, specifications,and requirements: <br /> aUS66 wu 6 <br /> Office of the Risk Management Office Date: 3/11/2020 <br /> 7F6CF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act: <br /> ('� '�' � 3/11/2020 <br /> Office of the Chief Financial Officer 7D4 81ACC140s... Date: <br /> Legal Services <br /> This agreement is approved as to Docusigned by: - icy: <br /> 3/11/2020 <br /> Office of the County Attorney 4035CB8304A4A�... <br /> 0� CA4 Date:68 <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 <br />