HomeMy WebLinkAboutR 2019-489 DSS - Flaircare Inc. contract amendment DocuSign Envelope ID: DBC2D3D5-DDD6-4D1 D-8ED6-DFMBF2132278
GRANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name; Flaircare Inc. dba Homewatch Caregivers of the Triangle Party/Vendor Contact Person: Anzor Gachechiladze
Contact Phone: Party/Vendor Address: 1210 SE Maynard Road City: CM State: NC Zip: 27511 Department: 5qgW
Services Amount: $415,647/$75,000 Purpose: In-home aides services Budget Code(s): I0400220-630000/10400220-
680026/10432020-630100/10432020-630105 Vendor#53657 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No®
Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date May 20�2019 Approved by Board Yes❑No
❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has
not been initiated prior to execution - Docusigned by:
�Na1n,Gy 1✓6S�btn 7/22/2019
Department Director's Signature DB7E062D1BF454'=A.
QocuSigned by Date
�iu- - ��k 7/24/2019
Department Director's Signature Date:
.
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have
already begun or been completed please briefly describe the nature of the emergency condition that was addressed:
Information Technoloeies
(Applicable only to hardwarelsoftware 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 sufficient Qocusigned by: rds,specifications,and requirements:
Q�Sa L.Qw�f�b 7/19/2019
Office of the Risk Management Office 7FDCF0176800408. Date_ —
Financial Services
This instrument has been pre-audited v vocusigned by: the Local Government Budget and Fiscal Control Act:
rq � � 7/25/2019
Office of the Chief Financial Officer 7D4E51s1ACC140s. Date:
Legal Services
This agreement is approved as to DocuSigned by: icy:
_�l,h�-{r�j, �.,nnh_
Office of the County Attorney- gp35C@8304CA4A� Date;7/25/2019
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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:
Revised 12118