HomeMy WebLinkAboutR 2016-368-E DSS - Personalized Patient Home Assistance Inc. for in home services to DSS aging clients�
DocuSign Envelope ID:9BE92A26-4CEE-4AC3-BC41-BB345E355lA4
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Departmen
Party/VendorNune: Personalized Patient Flome Assistance Inc Party/Vendor Contact Person: Dorothy Farrington
Cou(uu Phone: PunyyVcudur /\ddreus: 109 Concord Dr City State: NC Zip: 27516
I)epartmcotIS%S Amount: $IL.5 J�7 Purpose: In home services to DSS aging clients Budget Code(s): |04{Kll2U-
630080 Vendor # f new vendor) Vendor ina08CC consultant? Yem E] NuO Contract
(Check one) New F Renen/a/ F� y`mcu6mcot |; Effective Date 87/0l/|6 Approved 6yBoard YeePINo[]
Agenda Date:____
This agreement iuupprmvedux|utechnical fo
Department Director's Signature Date: 7/14/2016
Information Technologies
(Applicahle on4,to hardwarelsoftware purchases or related services)This agreement has been reviewed and is
approved o»to information technology content and specifications:
Office wf the Director uf Information Tecbuu)ogy 0u1u: ______.
Risk Mana2ement
This agreement imupprovedfbrmu[G6encyo[iosuru mkauidw.�i iG a1i and requirements:
Office of Risk Management Date: 7/11/2016
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: u"""mn""o»':
��f�rmaf the^�hiufFinancial��y�«er � «~ Date: 7/14/2016
Le2al Services!
This agreement ia approved ueio legal form and suUSui o:ocuSig I ned^
7/18/2016
Office otthe County Attorney 4035oa8304C^4A9
Qme:_______
Clerk to the Board
Received for record retention:
Office oY the Clerk tothe Board
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