HomeMy WebLinkAboutR 2016-417-E DSS - Senior Care of Orange County - Adult Day Health DocuSign Envelope ID:456CB831-89E2-409B-8715-A7lC362353A4 Contract 468-2014
Senior Care of Orange County, Inc.
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Senior Care ofDrqng���� Party/Vendor Contact Person: Alvonia Baldwin Contact Phone: (919)245-2017
Party/Vendor Address: 105 Meadowlands Drive City Hillsborough State:NC Zip:27278 Department:�ocial Services Amount:$20,00
Purpose:Adult Day Health Budget Code(s): 10405020-764100 Vendor#800047 (N/A if new vendor) Vendor is a BOCC consultant?
YesF�NoE Contract Type:(Check one)New F1 Renewal E Amendment F1 Effective Date July 1,201 Approved by Board Yes
El No[E Agenda Date:-
This agreement is approved as to technical form an Coi�Rfjgnel ly:
Department Director's Signature 666v" Date: 8/2/2016
Information Technologies
(Applicable only,to hardwarelsoftware 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 Ntanagement
This agreement is approved for sufficiency of insurance 1[ro requirements:
Office of the Risk Management Officer Date: 7/29/2016
Financial Services
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This instrument has been pre-audited in the manner re uireyVs)'PTh%bLoca1 Government Budget and Fiscal Control.Act:
rl� 8/2/2016
Office of the Chief Financial Officer )4E5181ACC1409 Date:
Legal Services
This agreement is approved as to legal form and sufflicienc . DocuSigned by:
4��q 1�� Date: 8/3/2016
Office of the County Attorney
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyc �orangec�ounvvnc.�Yov
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The following signature block is for hard copies only and is not required for Docusign contracts�
Office of the Clerk to the Board -..-Date:---_........
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