HomeMy WebLinkAboutR 2017-472-E DSS - Happy Homecare Staffing, Inc. for RN services DocuSign Envelope ID:4ED1919B-8BFA-4385-BOCC-6310D35F6154
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Happy Homecare Staffing, Inc. Party/Vendor Contact Person: Lesa Kendrick Contact Phone:
919-732-4663 Party/Vendor Address: 6720 Pentecost Road City Cedar Grove State: NC Zip: 27231 Department:
Social Services Amount: $10,000 Purpose: RN Services Budget Code(s): 10400220-630000 Vendor#59793 (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal
Amendment ❑ Effective Date July 1,2017 Approved by Board Yes No Agenda Date:
This agreement is approved as to to 'eatittmiditvid content:
NAtn,(1 ( sfet& 9/1/2017
Department Director's Signature QAE,�19€AeaB455 Date:
Information Technologies
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(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications: j
Office of the Chief Information Officer Date:
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1
Risk Management
i d �'
This agreement is approved for sufficien o ficg'st ndards,specifications,and requirements:
�lSae0 8/31/2017
Office of the Risk Management Officer 7FDCF917680o498... Date:
Financial Services �I
This instrument has been pre-audited ' t eihugtl W1equired by the Local Government Budget and Fiscal Control Act:
( '6°,1.4t i'"°� 9/1/2017
Office of the Chief Financial Officer 7D4E5181ACC1409. Date:
Legal Services
This agreement is approved as t eg rtaiTifaa_W'd sufficiency:
- Date: 9/5/2017
Office of the County Attorney 4o35C B8304CA4A9..
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,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 6/16 5