HomeMy WebLinkAboutR 2019-464 DSS - Happy Home Care staffing RN assessments DocuSign Envelope ID:23F621AB-7298-4E36-B826-B670C6D009B1
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
PartylVendor Name: fto Homecare Staffing, Inc. Party/Vendor Contact Person: Lesa Kendrick Contact
Phone: 919-732-4663 Party/Vendor Address: 6720 Pentecost Road City Cedar Grove State: NC Zip: 27231
Department: Social Services Amount: 10,00 Purpose:M Services Budget Code(s): 10400220-622000 Vendor
#59793 (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 to Uocusigned by: tent:
NAA�G►� �bSl'bGt. 7/16/2019
Department Director's Signature 11E1El98A83B455 Date:
Information Technologies
(Applicable only to hardwarelsoflware 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 Manaegment
This agreement is approved for sufficienc QocuSigned by: rds,specifications,and requirements:
Q�Sa L,vV1A.tr�b 7/3/2019
Office of the Risk Management Offi.Ce 7FDCF0176800498. Date;
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: Docusigned by:
1 41 .4/� 7/16/2019
Office of the Chief Financial Officer ` NE5181ACC1409. Date:
Legal Services
This agreement is approved as t Docusigned by: ncy:
7/16/2019
Office of the County Attorney 4035CB8304CA4A9 Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy�orangecountync, oy
The following signature block is for hard copies only and is not required for Docusiga contracts:
Office of the Clerk to the Board Date:
Revised 10/17
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