HomeMy WebLinkAboutR 2017-340-E DSS - Personalized Patient Home Assistance, Inc. for in-home aides services DocuSign Envelope ID: E51E535C-r71e-44A8-80o0eEAe7rrA0A81
Contract 1168-2004
Personalized Pa ient Home As htance, Inc. I
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Personalized Patient Home Assistance, Inc. pmt^Neudur Contact Person: Dorthea
Farrington Contact Phone: (919)929-4943 Party/Vendor Address: 109 Concord Drive City Chapel Hill State:NC
Zip: 27516 Department: Social Services Amount: 415`647 Purpose: In-home aides services Budget Code(s):
10400220'630000 Vendor 11 13754 (N/A if new vendor) Vendor is a BOCC consultant? Yes [lNoE Contract
Type: (Check Fl Renewal Ei Amendment Fl Effective Date July 1, 2017 Approved by Board Yes
0Moigj Agenda Date:
This agreement is approved as to te ' 6&l"ft content:
KlAbi COSfOIA, 7/24/2017
Department Director's Signature - Date:
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Dcpmrtout0ir,c1ur`oSiQumture ( = ° 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 sufficienc durdu`uyocificuhnoo' aodrequiruoeu1 :
[af aU sx Coy�'aT0 7/Zl/ZOl7
@@loeo/thxl�ink8�000gemeo1o�f�cer , 0wo Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
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[214.4 ^–`~~~~~~— 7/Z4/ZOl7^�0Dcxof the��b\cYFinancial��WNee /o^s,,o,^oo,+v, Date:
Legal Services
This agreement is approved as sufficiency:
� I �
�� 7/24/2017
Office of the oCoumty,�Wnruuy ��w'«~�-r � Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydorangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
6
Rev, 6/16