HomeMy WebLinkAboutR 2018-018 Finance - Senior Care of Orange County performance agreementDocuSign Envelope ID: 535BB656- 53CF- 457A- 98B2- D73B9641501 D
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Senior Care of Orange County, Inc Party/Vendor Contact Person: Alvonia Baldwin Contact
Phone: 919 - 245 -2017 Party/Vendor Address: 105 Meadowland Drive City Hillsborough State: NC Zip: 27278
Department: Finance &Administrative Services Amount: 35000 Purpose: FY 2017 -18 Outside Agency Performance
Agreement Budget Code(s): 10495050719027 Vendor # 800047 (N /A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
7/1/2017 Approved by Board Yes® No❑ Agenda Date: 6/20/2017
This agreement is approved as to technical f rm �-niasLfflML it:
L +�� 1/22/2018
Department Director's Signature 7o4ES181ACC1409 . Date:
Information TechnoloEies
(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
Risk Management
Date:
This agreement is approved for sufficiency of in �4ff § �3�M'ds, specifications, and requirements:
4uso, pmth 1/24/2018
Office of the Risk Management Officer 7FDCF91768OD498. Date:
Financial Services
This instrument has been pre- audited in the manne re 45�ghc Luca) Government Budget and Fiscal Control Act:
0.1� 1/22/2018
Office of the Chief Financial Officer 7�aEslauCC,a�4 Date:
Legal Services
This agreement is approved as to legal form As44"t+gy:
1n In, , k. (, -NCO 1/24/2018
r d a
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd{ Doran eco c. ov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Date:
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7117