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HomeMy WebLinkAboutR 2018-449 Finance - Senior Care of Orange County outside performance agreementDocuSign Envelope ID: 17COF518- 9238 - 480E- 96E6- 77FFCCC2626B ORANGE COUNTY — DEPARTMENT USE ONLY Department Party/Vendor Name: Senior Care of Orange County, Inc Party/Vendor Contact Person: Swayzene Riggsbee 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 2018 -19 Outside Agency /Human Services Performance Agreeement Budget Code(s): 10495050- 719027 Vendor # 800047 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/1/2018 Approved by Board Yes ®No❑ Agenda Date: 6/19/2018 This agreement is approved as to technic ©ocusigned by: CC Department Director's Signature 704E5181ACC1469... Information Technologies Date: 8/17/2018 (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 insura DocuSigned�by: �ICations, and requirements: aUSX �p°�,i;,6 8/17/2018 Office of the Risk Management Officer Date: 7F6CF91788fl0498... Financial Services This instrument has been pre- audited in the manner oocusigned by: wernment Budget and Fiscal Control Act: t Office of 1 the Chief Financial Officer 7NE5181ACC1469... Date: 8/17/2018 Legal Services This agreement is approved as to legal four OocuSigned by: ��•��,. 8/17/2018 Office of the County Attorney 4�35C68304CA4Ac Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync.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: (Senior Care of Orange County, Inc) Orange County Outside Agency Performance Agreement Page 6 of 9 Rev. 7/18