HomeMy WebLinkAboutR 2015-308-E DSS - Happy Homecare Staffing, Inc. for RN services $10,000 DocuSign Envelope ID:90C1 B51 E-E878-48B8-B980-2C934FC73BAD
ORANGE COUNTY—DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Happy Homecare Staffing, Inc. Party/Vendor Contact Person: Lesa Kendrick Contact Phone:
(919) 732-4663 Parry/Vendor Address: 6720 Pentecost Road City Cedar Grove State: NC Zip: 27231 Department:
Social Services Amount: $10,000 Purpose: RN Services Budget Code(s): Vendor 9 N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑
Effective Date July 1,2015. Approved by Board Yes❑No® Agenda Date:
This agreement is approved as to technical formr_N c%Te?jjgnedby:
Department Director's Signature st6vu Date: 6/11/2015
Information Technologies
(Applicable only to hardtivarelsofhvare purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Director of Information Technology Date:
Risk Management
This agreement is approved for sufficiency of insur Dsegiid + s ecifications,and requirements:
Q�1Sa rbb 6/12/2015
Office of Risk Management zEncEa1ZBAA04gp Date:
Financial Services
This instrument has been pre-audited in the manner aa�tg�llke:Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer P Date: 6/29/2015
Legal Services
This agreement is approved as to legal form and suff ciency signea by:
1 6/29/2015
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 7114 4