HomeMy WebLinkAboutR 2016-411-E DSS KAH Care, L.L.C. dba Right at Home - in-home aide services DocuSign Envelope ID: D246BF38-3F94-4A4B-B6B9-C4F5BAC37487
Contract#68-2017
KAH Care,L.L.C. dba Right at Home
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
i
Party/Vendor Name: KAH Care L.L.C. dba Right at Home Party/Vendor Contact Person.: Ken 1[elmllth Contact
Phone: (91 2 1-5 92 Party/Vendor Address: 105 W. Corbin Street Suite 203 City Hills Mate: NC Zip:
27278 Department: Social Services Amount: 415,647 Purpose: In-home aides services Budget Code(s):
10400220-630000 Vendor#62382 (NIA if new vendor) Vendor is a BOCC consultant? Yes[:1 NoZ Contract
Type: (Check one)New ❑ Renewal Z Amendment ❑ Effective Plate July 1, Approved by Board Yes
❑No® Agenda Date:
This agreement is approved as to technical fort ¢ O:by:
Naar c� 666v'
Department Director's Signature Date: 7/21/2016
— Er�s,a� -- ......... .._ —OD
Department Director's Signature ._.._..._...___ _...._... __......_._._.___..._.._ _ Date: _
Information Technologies
(Applicable only,to hardivarelsoftware 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 insur Ib.- �''r"" ,specifications,and requirements:
&a. (hnull6 7/18/2016
Office of the Risk Management.Officer FBeFs4i,6eea ----------___..........__m..Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and fiscal Control
Act: DocuSigned by:
R,tiry � 2osz
Office of the Chief Financial Officer �v _.....Date: 7/28/2016
Legal Services
This agreement is approved as to legal form and s i p!igned by:
Office of the County Attorney
Date: 7/29/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion cr Dolloyd(i)orang-.Cou ttv_ ncgov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date;
Rev. 6176
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