HomeMy WebLinkAboutR 2015-349-E DSS - KAH Care, LLC dba Right at Home - employees to perform in-home services for OC DSS clients DocuSign Envelope ID:89EE68A1-29FA-417C-9C6F-034CDOD2C779
ORANGE COUNTY--DEPARTMENT USE ONLY
Department
Parry/Vendor Name: KAH Care, L.L.C. dba Right at Home. Party/Vendor Contact Person: Kenneth Helmuth
Contact Phone: (919) 241-5292 Party/Vendor Address: 105 W. Corbin St, Suite 203 City Hillsborough State: NC
Zip: 27278 Department: DSS Amount: $75,000 Purpose: Provide employees to perform in-home services for
OCDSS clients Budget Code(s): 10400220-630000 Vendor ## (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date
07/01/15 Approved by Board Yes®No❑ Agenda Date:
This agreement is approved as to technical form and c �cuSigned by:
Department Director's Signature NAAn.Ct� 4f6vu Date: 7/21/2015
DRE1�1-9 f J4&3B�55...
Information Technolozies
(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 Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insura "%ys'peecifcations,and requirements:
Q�ASA. r,6Vtit,t�b 7/19/2015
Office of the Risk Management Officer _nr 94zaaL1DAS8... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigne�d,�,b�y::
r� [A"' 6VU 7/22/2015
Office of the Chief Financial Officer aeFs�asaz® Date:
Legal Services
This agreement is approved as to legal form an by:
Office of the County Attorney 1 Date: 7/22/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollog orangecountync.Mov
The following signature block is for hard copies only and is not required for Docusign contracts:
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