HomeMy WebLinkAboutR 2018-381 DSS - MediSolutions in-home aide servicesDocuSign Envelope ID: 3E4B4B91- 8AA8 -41 OB- 8584- 11AAECCBC787
Contract #68 -2034
Medisolutions, Inc.
ORANGE COUNTY - DEPARTMENT USE ONLY
Department
Party/Vendor Name: Medisolutions, Inc. Parry /Vendor Contact Person: Robin Creason Contact Phone: 336 -329-
9060 Party/Vendor Address: 100 N. Church St. , Suite B City: Burlington State: NC Zip: 27217 Department:
Social Services Amount: $415.647 Purpose: In -home aides services_ Budget Code(s): 10400220-
630000/ 10400220 - 680026 /10432020 - 630100110432020 - 630105 Vendor # N/A (N /A if new vendor) Vendor is
a BOCC consultant? Yes E] NoZ Contract Type: (Check one) New E] Renewal ® Amendment ❑ Effective
Date July 1._2018 Approved by Board YesE No❑ Agenda Date: May 7, 2013
This agreement is approved as to te{ Docu Sig ned by:
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Department Director's Signature DocuSigned by:
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Department Director's Signature UE962D16F454FA...
tent:
Information Technoloizies
Date: 8/10/2018
8/10/2018
Date:
(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
This agreement is approved for sufficiem aocuSigned by:
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Office of the Risk Management Office 7FDCF9176800498...
Date:
rds, specifications, and requirements:
Financial Services
Date: 8/3/2018
This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
41.4111/1. 8/13/2018
Office of the Chief Financial Officer 704E5181ACC1409... Date: —
This agreement is approved as tc oocusigned by:
Office of the County Attorney'°v' -
4035C68304CA4A�...
Le al Services
ncy:
Clerk to the Board
Date: 8/13/2018
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Do] lo d oran ecount nc. ov
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. 6/16
Date: