HomeMy WebLinkAbout2012-192 S DSS-Aging - TAMM dba Right at Home for In-Home Aide Services $415,647 dao'/Y%'
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (\)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: TA&4M, LLCdhu Right o*Home Party/Vendor Contac Person: Tori Williams Reid PH.D. Contact Phone: 919-
241'5292 Party/Vendor Address: lO5W. Corbin St. Suite 2O3 City Hillsborough State: NC Zip: 27278 Department: DSS Amount:
$415,647 Purpose: In-Home Aide services Budget Code(s): 10400220'630000 Vendor#68'20l0 /A if new vendor) Vendor is a
BOCC consultant? Yes 0 NoEj Contract E NorJ Contract Type: (Check one)New fl Renewal Amendment Fl Effective Date 07/01/12
Approved by Board Yes No Agenda Date: 06N5/12 Title Of Contract: In-Home Aide Provider Services Agreement
If this is a Grant Agreement, pre-application has been approved by the Board of CommimmionoreYcon Non. If submitted for bid were
bidn/RFPo received Yex[l No 8id/BFp number This contract has been reviewed and approved by the Department Director as to
technical content:
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Department Director's Signature: _, '_ � ~ Date: <���~/��/]~
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Director
(Applicable only to purchases or related se cox)This contract has been reviewed and approved by the Information
Technology Director as to technical content and info '`.tio^ echnology specifications:
IT Director's Signature: Date:
Risk M t
Include the following coverages: 0 CGL; 0 Auto; 0 WC; rofeoukmuL 0 Property; OR No Insurance Required 0. Hold
Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown, this contrac is approved
by the Risk Manager:
Risk Manager's Signature: Date: &' ' 24(.1z~~
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Financial Services
xi is condition Y L . Ahud&� nmcodmem is necessary
before approval YesEl If budget amendment is necessary, please uuuchtuthis boon. his iva�umenthas been pre-audited inthe
manner required by the Lo
Government Budget and Fiscal Control
^7 �/
Financial Services Director's 8igmmtunx� / � Date: ^ / �� } l-
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ca �' i=l��°1 ^
county Attorney
Approval by Board Igl (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, many BOCC
consultant contract). Approval ey M4unuger Fl (Most other contracts$1.000 and above). Department Director approval only 11 (Under
$1.000). This contract has be- cvie°u ~ d— ~^dby8`e&uoneyuytuiegu|fonnuudouO5cie
< /'
t '~Date: —
Attorney's Signature I
County This contract has been reviewed and �opprovodhy�eCou NoLJ.
This contract has been reviewed and is for signa mr by the air `/eoIffiN»LJ.
Manager's Signature: I 0 i y / o
Date: 7-10—/-2---
Clerk to the Board
Approved by BOCC on the day of , o . Submitted for Chair signature on the day of ,20 .
Clerk's Signature: Date:
Revised March 2012