HomeMy WebLinkAboutR 2018-359 Aging - Senior Care of OC adult day care servicesRevised 10/17
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ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: Senior Care of orange Coutny Inc. Party/Vendor Contact Person: Contact Phone:
Party/Vendor Address: 105 Meadowlands Drive City Hillsboroughl State: NC Zip: 27278 Department:
Aging Amount: $8,000 Purpose: Adult Daycare Services Budget Code(s): 10432020-630100 and 630105 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, 2018 Approved by Board Yes No Agenda
Date:
This agreement is approved as to technical form and content:
Department Director’s Signature ________________________________________ 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 sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________Date: ________
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:_________
DocuSign Envelope ID: 8B585BA3-46CD-44DE-B236-EB411C96C6FF
8/1/2018
8/1/2018
8/8/2018
8/8/2018