HomeMy WebLinkAboutR 2019-630 DSS - CNC Access ResCare in home services contract amendment DocuSign Envelope ID: B7EA7F20-FBF8-4080-B439-2B07E37432E0
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: CNC/Access, Inc. d/b/a ResCare HomeCare Party/Vendor Contact Person: Mark Pietrow Contact Phone:
(704) 405-9035 PartyNendor Address: 834 Tyyola Road, Suite 108 City Charlotte State: NC Zip: 28217 Department: Social
Services Amount: $415,647/$75,000 Purpose: In-home aide services Budget Code(s): 10400220-630000/10400220-
680026/10432020-630100/10432020-630105 Vendor#59844 (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:
Department Director's Signature���gned by: Date: 9/9/2019
Department Director's Signatur Z�ci.IR,iu, -�bw Date: 9/9/2019
@7E902D1BF454=A..
Agreements for emergency services or repair are not subject to the above af6rniation. 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 Techoolo ies
(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 Manay-ement
This agreement is approved for sufficient—-r:- rds specifications and requirements:
� FP oocusigned_. ___ by: >
Office of the Risk Management OfficeC7FDCF0176800408
USA �,DV1A.t& Date:6/26/2019
.
Financial Services
This instrument has been pre-audited' oocusigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer 44E51S1ACC1409. � Date: 9/9/2019
70
Legal Services
This agreement is approved as ti - Doeusigned ay:" - ncy:
.; J �, �.�,�__ 9/13/2019
Office of the County Attorney - .. Date:
4035C@8304CA4M -
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:
Revised 12/18