HomeMy WebLinkAboutR 2018-319 DSS - Personalized patient home assistance in home aide servicesDocuSign Envelope ID: A07C4620 -D9F0- 4228- 9B2F- lD499E5F8796
Contract #68 -2036
Personalized Patient Home Assistance, Inc.
ORANGE COUNTY — DEPARTMENT USE ONLY
Department
Party/Vendor Name: Personalized Patient Home Assistance, Inc. Party/Vendor Contact Person: Dorothea
Farrington Contact Phone: (919) 929 -4943 Party/Vendor Address: 109 Concord Drive City Chapel Hill State: NC
,Zip: 27516 Department: Social Services Amount: $415,647 Purpose: In -home aides services Budget Code(s):
10400220- 630000110400220 - 680026/10432020 - 630100/10432020 - 630105 Vendor # 13754 (N /A if new vendor)
Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one) New ❑ Renewal ® Amendment ❑
Effective Date July 1, 2018 Approved by Board YesZ No❑ Agenda Date: May 7, 2013
This agreement is approved as to to DocuSigned by:
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Department Director's Signature DocuSigned by:
Department Director's Signature �aln. @7i���
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Information Technologies
Date: 7/24/2018
Date: 7/24/2018
(Applicable only to hardwarelsoftware 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
This agreement is approved for sufflcienG DocuSigned by:
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Office of the Risk Management Office 7FDCF9176800498...
Date:
rds, specifications, and requirements:
Financial Services
Date: 7/16/2018
This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
7/25/2018
Office of the Chief Financial Officer Date:
704E5181ACC1409...
Legal Services
This agreement is approved a5 t DocuSigned by: ncy:
.�l_ 7/25/2018
Office of the County Attor�aey gp35C@8304CA4A6... — Date.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Doi loyd @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
6
Rev. 6116
Date: