HomeMy WebLinkAboutR 2017-533-E DSS - Senior Care of Orange County for Adult Day Health DocuSign Envelope ID: FBF0391 D-70C4-4BC1-A063-A23742F80EC1 Contract#68-2014
Senior Care of Orange County,Inc.
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Senior Care of Orange County Party/Vendor Contact Person: Alvonia Baldwin Contact Phone: (919)245-2017
Party/Vendor Address: 105 Meadowlands Drive City Hillsborough State:NC Zip:27278 Department:Social Services Amount:$20,000
Purpose:Adult Day Health Budget Code(s): 10405020-764100 Vendor#800047 (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 tep•tmitTfluRIPIT1Vid content:
Otte, y Cbmfbl& 9/25/2017
Department Director's Signature`. DA 1 1O6;B3 4ss Date:
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 sufficient 14TPAigfflrattristandards,specifications,and requirements:
Rica Cart/al-to 7/24/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited ' ° of m€cr quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office � � Date: 9/25/2017
7 e4E5181,4CC 1-4O0...
Legal Services
This agreement is approved as t egRP�e iit3 sufficiency:
Office of the County Attorney ao3sceR n4A4 Q Date: 9/28/2017
Clerk to the Board I
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov
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:
Contract-General (07/10) Page 5 of 5