HomeMy WebLinkAboutR 2017-413-E Aging - Senior Care of Orange County Inc. for adult day health care services DocuSign Envelope ID:30CFBA21-DC65-423A-A674-7D24A692C6ED
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Senior Care of Orange County Inc Party/Vendor Contact Person: Swayzene Riggsbee Contact
Phone: Party/Vendor Address: 105 Meadowlands Drive City Hillsborough State: NC Zip: 27278 Department:
Aging Amount: $6,700 Purpose: adult day health care services Budget Code(s): 10432020-630100 Vendor#800047
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal
® Amendment ❑ Effective Date 8/20/17 Approved by Board Yes' No Agenda Date:
This agreement is approved as to technical form and content:
/^--DocuSigned by:
Department Director's Signature ja kAa- � t V Date:
8/24/2017
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---DocuSiggned_by:
Office of the Risk Management Officer aMMS& COVln,f ll b Date: 8/25/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
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, —DocuSigned b :
Office of the Chief Financial Officer �� Date:
8/25/2017
—7D4E5181 ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
p--DocuSigned by:
Office of the County Attorney abUAL hark, -NO 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