HomeMy WebLinkAboutR 2019-632 DSS - Senior Care of OC adult day care DocuSign Envelope ID: 179DC6FB-73BA-4F64-A513-C8AB2B7D864F Contract4'68-2043
Senior Care of Orange County, Inc.
ORANGE COUNTY-DEPARTMENT USE ONLY
PattyNendor Name: Senior Care of Orange Coun Party/Vendor Contact Person: Alvonia Baldwin Contact Phone: 919-245-2017
PartyNendor Address: 105 Meadowlands Drive City Hillsborou State:NC Zip:27278 Department:Social Services Amount:$20.000
Purpose:Adult Day Care Budget Code(s): 10405020-764100/10405020-764101 Vendor 9 800047 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date Jul 1 2019
Approved by Board Yes❑No❑ Agenda Date:
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not
been initiated prior to execution of the agreement:
DocuSigned by:
66 4ln 9/12/2019
Department Director's Signature pAEi E198A83B455 . Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have
already begun or been completed please briefly describe the nature of the emergency condition that was addressed:
Information Technologies
(Applicable only to hard►varelsoftware purchases or related services)This agreement has been reviewed and is approved as to
information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Mana-Zement
This agreement is approved for sufficienc riiocusgned br`�-t-'--ds,specifications,and requirements:
QC1$A �,4Wt.t& Data: 7/10/2019
Office of the Risk Management Officer 7FDCF0176800408.
Financial Services
�ocuSigned by:
This instrument has been pre-audited i the Local Government Budget and Fiscal Control Act:
rq 4 � Date: 9/13/2019
Office of the Chief Fiji ancial Officer 7NE5181ACC1400. —
Legal Services
This agreement is approved as t DocuSigned by: ncy:
9/13/2019
Office of the County Attorney 4035CB8304CA4M Bate:
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:
Contract-General (06/19) Page 4 of 4