HomeMy WebLinkAboutR 2016-363-E DSS - Happy Homecare Staffing, Inc for Registered Nurse services DocuSign Envelope ID:8EBE7ACF-D810-424E-9BlA-7FO30064A6E5
ORANGE COUNTY-DEPARTMENT USE ONLY
Departmen
Party/Vendor Name: Hgppy Homecare Staffing,Inc. PartyNendor Contact Person: Lesa Kendrick Contact Phone:
919-732-4663 Party/Vendor Address: 6720 Pentecost Road City Cedar Grove State: NC Zip: 2723 t Department:
Social Services Amount: S10,000 Purpose: RN Services Budget Code(s): 10400220-630000 Vendor#59793 (N/A if
new vendor) Vendor is a BOCC consultant" Yes F-1 NoZ Contract Type: (Check one) New [:] Renewal Z
Amendment 7 Effective Date July 1 2016 Approved by Board Yes[:]No[E Agenda Date:
This agreement is approved as to technical form an Rteyffigned by:
Department Director's Signature N" (,46v, Date:6/29/2016
__..._..=9AE-1,E4Q6A83B 1155... -
Information Technologic
(Applicable only,to haraWarelsoftware purchases or related services)This agreement has been reviewed and is
approved as to information technolo.- content and specifications:
ly
Office of the Chief Information Officer Date:
Risk Managemen
This agreement is approved for sufficiency of insuran &wW,*pecifications,and requirements:
9 'sa. (hnttN 6/29/2016
Office of the Risk Management Officer— -FDCF94�WQQ"8-.— Date:
Financial Services
This instrument has been pre-audited in the manner r,rqff dT
fTlfflVtocal Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 7D4F5j8JACCj4nq Date: 7/13/2016
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Legal Services
This agreement is approved as to legal form and suffic' _�Ppusigned by:
Office of the County Attorney 4��q 1�� Date: 7/14/2016
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @/Dollff_da.or4qg_qcountvncj�Lv
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 6/16 5