HomeMy WebLinkAboutR 2018-338 DSS - Premier Home Health service agreementDocuSign Envelope ID: 3576E911 -72DE- 4480- 8C9C- 3DE5A840178D
Contract #68-2035
Premier Home Health Care Services, Inc.
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Premier Home Health Services, Inc. Party/Vendor Contact Person: GregM Turchan Contact
Phone: (914) 428 -7722 Party/Vendor Address: 445 Hamilton Ave City White Plains State: NY Zip: 10601
Department. Social Services Amount: $415,647 Purpose: In -home aides services Budget Code(s): 10400220-
630000 /10400220 - 680026/10432020 - 630100/10432020 - 630105 Vendor # 4543 (N /A if new vendor) Vendor is
a BOCC consultant? Yes ❑ No,® Contract Type: (Check one) New ❑ Renewal [D Amendment ❑ Effective
Date July 1, 2017 Approved by Board Yeso No❑ Agenda Date: May 7, 2013
This agreement is approved as to to DomSigned by:
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Department Director's Signature Doc-„s;g ed by:
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Department Director's Signatur
:ent:
Information Technologies
Date: 7/30/2018
Date: 7/30/2018
(Applicable only to hardwarefsoftware 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 sufficienc`. - oocusS e__ a ay:-- `-irds, specifications, and requirements:
ausa, (�Vlrt.t 6 7/27/2018
Office of the Risk Management Office Date;
7F6CF817E800498...
Financial Services
This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control
Act: Docu.signed by:
41. 7/31/2018
Office of the Chief Financial Officer. 4E51s1ACC1400 ... Date: —
Legal Services
This agreement is approved as t oocusigned ay: - ncy:
7/31/2018
Office of the County Attorney ao35ces3aa�A4a�... Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DoIloyd 2orangecountync.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: