HomeMy WebLinkAbout2012-219 S DSS-Premier Home Health Care Services Inc for In Home Services $415,647 ■
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c:: 5.ecY s -0/0 ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (h Department,(2)IT, (3)Risk Management,N0 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: Premier Home Health Care Services,Inc Party/Vendor Contact Person: Gregory Turchan/Kathleen Craig Contact
Phone: 914-428-7722 Party/Vendor Address:445 Hamilton Ave 10th Floor City White Plains State:NY Zip: 10601 Dcpurtmcnt:DSS
Amount: not to exceed$415,647 Purpose: In Home services Budget Code(s): Vendor# /A if new vendor) Vendor is
a BOCC consultant? Yes 9 No9 Contract Type: (Check one)New 9 Renewal Amendment 9 Effective Date 07/01/12
Approved by Board Yey0Nu0 Agenda Date: 06/15/12 Title of Contract: In-Home Aide Provider Services Agreement
If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yea0Y4o9. If submitted for bid were
hida/RFPo received yeaFlNv9 8id/KFPnumher This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: dr4--4.'/l—
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Mu ment
coverages:the following oo,ora�� [gGL; F_')\u ; E'Professional; 9 Property; OR No Insurance Required 9. Hold
Contract pending receipt of Certificate of Insurance ' With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
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|�imk��onugor`sSiguut"re� ������-�~ �^� Date: I(/1(7"Signature: ~ � � � ^ ^
Financial Services
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This Cnntmctioconddi pon appropriation by the Board o[Commixoinucm Yco�]��o��� A budget amendment is necessary
before approval Yes9 Nurn. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: e411~-CA,
)3' ii"-- Date:� '7� �1 ��
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County Attorney
Approval by Board [X(Coutruuto $90,000.00 or more for goods or services, $258,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager 9 (Most other contracts$1,000 and above). Department Director approval only 9 (Under
$1,000). This contract has b "
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i and approved hy the Attorney ux/n legal form and sufficiency:
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Attorney's Signature 0 lit �� Date:7 13 1 /2
County Manager
This contract has been reviewed and is approved by the County Manager esErNo9.
This contract has been reviewed and is for signature by the Chai
Monu&or,nS\gnuturc — / uN / Date: 7 ~( ~a--
Clerk t the Board
Approved by 130CC on the day of ,20 . 3ubmitted0n,Chabmignmuncondbedoyof ,20 .
Clerk's Signature: Date:
1<evlye4 March 2012