HomeMy WebLinkAboutR 2015-416-E Aging - A Helping Hand to provide respite services DocuSign Envelope ID:AEEF2585-3A35-4C7F-8DBC-032603CBB972
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone:
Party/Vendor Address: 1502 W NC 54, Ste 405 City Durham, State: NC Zip: 27707 Department: Aging Amount:
$12,000 Purpose: respite services Budget Code(s): 10432020-630105 Vendor 4 32018 (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 tec ^eb">& content:
Department Director's Signature �y Date: $/4/2015
B7E962D1BF454FA...
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 Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
[_Aus.DocuSigned""by:''1L g r,6vvt,e b 8/11/2015
Office of the Risk Mana ement Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the pargeebequired by the Local Government Budget and Fiscal Control Act:
8/11/2015
Office of the Chief Financial Officer b�' Date:
232DFFC2CFA847B...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
Office of the County Attorney "j Date: 8/11/2015
4035C B83046A4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14 4