HomeMy WebLinkAboutR 2017-367 Aging - Triangle J Council of Goernments Area Agency on Aging - Home & Community Care Block Grant Agreement ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Triangle J Council of Governments Area Agency on Aging Party/Vendor Contact Person:
Mary Warren Contact Phone: 919.558.2909 Party/Vendor Address: 4307 Emperor Blvd., Suite 110 City Durham VV''
State: NC Zip: 27703 Department: Aging Amount: $592,820 Purpose: Home & Community Block Grant
Budget Code(s): 10430105-444000 10430105-448916 10432005-444103 10435005-44500 SS Senior Care 7
Inc. Vendor# 5855 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No[] ct Type: (Check ,
one) New ❑ Renewal ® Amendment ❑ Effective Date 7/01/2017 Approved by Board Yes® No❑
Agenda Date:May 16,2017
This agreement is approved as to technical form and content:
Department Director's Signature •,11� Date: -1
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 2- ,( /( ice 7 Date:
Xmanci"erkes
This instrument has been pre-audited in the er qu' e y the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer Date: 7
Leval Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney gA( 1 '���� �' Date: '1 ►^i
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board
Date:
Revised 2117