HomeMy WebLinkAboutR 2015-463-E Finance - Senior Care of Orange County, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: 3FD37DED-3EFC-49BB-BD08-D6EFCA4FEB76
ORANGE COUNTY-DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Senior Care of Orange County, Inc Party/Vendor Contact Person: Alvonia Baldwin Contact
Phone: 919-245-2017 Party/Vendor Address: 105 Meadowland Drive City Hillsborough State: NC Zip: 27278
Department: Finance & Adm. Srv. Amount:$ 25,000 Purpose: Outside Agency Performance Agreement Budget
Code(s): 10495050 719027 Vendor 4 800047 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ NoX
Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by Board
YesX No❑ Agenda Date:June 16,2015
This agreement is approved as to technic form d content:
ocu$igned-by:
VU Date: 8/23/2015
Department Director's Signature
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232DFFC2CFA847B...
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:
DocuSigned""by:
''1L
Q�As& r,6vvt,e b 8/21/2015
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in �gjdi:Wuired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer �Adti� haw Date: 8/23/2015
232DFFC2CFA847B...
Legal Services
This agreement is approved as to le al orr�q ark sufficiency:
ocu igne y:
Office of the County Attorney ✓- � Date: 8/24/2015
4035CB8304CA4A9...
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:
(Senior Care of Orange County,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115