HomeMy WebLinkAboutR 2017-401-E Aging - A Helping Hand, Inc. for in-home services DocuSign Envelope ID:B6F3A4D5-58B5-4AA8-A83B-674BB5844D06
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: A Helping Hand, Inc. Party/Vendor Contact Person: Jennifer Ashley Contact Phone:
Party/Vendor Address: 1502 W Hwy 54, Ste 405 City Durham State: NC Zip: 27707 Department: Aging Amount:
$6,585 Purpose: in-home services Budget Code(s): 10432020-630105 Vendor # 32018 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑
Effective Date 7/01/17 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
/^--DocuSigned by:
Department Director's Signature
Date: 8/18/2017
B7E962D1BF454FA...
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:
r---DocuSignedby:
Office of the Risk Management Officer MS& rbYVuth Date: 8/21/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
, ---DocuSigned by:
Office of the Chief Financial Officer l'l Date: 8/21/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to llka1ysutficiency:
ate, ''L ' . -Nto 8/21/2017
Office of the County Attorney Date:
079A4D525C0F4FB...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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:
Revised 2/17 5