HomeMy WebLinkAboutR 2015-347-E DSS - Bethesda Care, LLC dba Keston Care for RN services DocuSign Envelope ID: 30CC97DC-995F-48ED-9245-A640EBC3CAOC
ORANGE COUNTY—DEPARTMENT USE ONLY
NOT A CONTRACT EXHIBIT OR ATTACHMENT
Department
Party/Vendor Name: Bethesda Care, L.L.0 dba Keston Care Party/Vendor Contact Person: Roxanne Kessler Contact
Phone:(919)967-0507 Party/Vendor Address: 11312 US 15-501,Chatham Crossing Suite 400 City Chapel Hill State:
NC Zip: 27517 Department: Social Services Amount: $10,000 Purpose: RN Services Budget Code(s):
Vendor#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 form an MVgned by:
Nawc�
Department Director's Signature (hSt6v, Date: 7/10/2015
s�AeIer�s...
Information Technologies
(Applicable only to hardware/software 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 i w0andords,specifications,and requirements:
Q�iSa r,6Viit,t�0
Office of Risk Management 1769004Q Date: 7/15/2015
Financial Services
This instrument has been pre-audited in the manner e &&i yl ocal Government Budget and Fiscal Control Act:
b�L 7/16/2015
Office of the Chief Financial Officer 232DF_Fr2CFA847B_ Date.
Legal Services
This agreement is approved as to legal form and su ®�1!uriibned by:
f 7/16/2015
Office of the County Attorney ' Date:
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 7114 4