HomeMy WebLinkAboutR 2017-410-E Aging - Flaircare Inc. for in-home services DocuSign Envelope ID:FB5D6D3D-DC01-4E94-9986-9211E65DE6B9
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Flaircare Inc. Party/Vendor Contact Person: Contact Phone: Party/Vendor
Address: 1210 SE Maynard Rd., Suite 202 City Cary State: NC Zip: 27511 Department: Aging Amount: $14,700
Purpose: in-home services Budget Code(s): 10432020-630100 & 630105 Vendor # 53657 (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:
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/- ocu igned y:
8/18/2017
Department Director's Signature i 0-- I r Date:
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:
5---DocuSigned_by:
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g a�SA. rbvvutl6 8/25/2017
Office of the Risk Management Officer Date:
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the maiNdricouired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Aniti 10,0x. Date:
8/25/2017
—7D4E5181 ACC1409...
Legal Services
This agreement is approved as to leAl forme ml sufficiency:
ocu igne
Office of the County Attorney ate, L SCo Date: 8/25/2017
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