HomeMy WebLinkAboutR 2017-091 Aging - Triangle J Council of Governments - Home and Community Care Block Grant ,2,d(7 - 09 l
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Triangle I Council of Governments Party/Vendor Contact Person: Mary Warren Contact
Phone: 919-588-2707 Party/Vendor Address: 4307 Emperor Blvd., Ste 110 City Durham State: NC Zip: 27703
Department: Aging Amount: $592,820 Purpose: Home and Commun4j Care Block Grant Budget Code(s):
104301, 20, 50 Vendor# 5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract
Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 07/01/2016 Approved by Board Yes®
Nor] Agenda Date:06/21/16
This agreement is approved as to technical form and content:
Department Director's Signature Date:
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:
Office of Risk Management Date:- �
Financial Services
This instrument has been pre-audited in the in er re d by th Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: Z Z
Leeal Services
This agreement is approved as to legal f and s i cy:
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board —Date: -7
Revised 2/17