HomeMy WebLinkAboutR 2019-668 DSS - Medisolutions in home aide services DocuSign Envelope ID: 12D946D0-9D14-4754-B762-26F971 E30A53 Contract#68-2046
Medisolutions,Inc.
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Medisolutions Inc. PartyNendor Contact Person: John Okafor Contact Phone: 336-329-9060 Party/Vendor
Address: 1146 North Church Street City:Burlington State:NC Zip:27217 Department:Social Services Amount:$13. 000 Purpose:In-
home aide services Budget Code(s): 10400220-630000/I0400220-680026/10432020-630100/10432020-630105 Vendor 4 N/A (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑
Effective Date October 1.2018 Approved by Board Yes®No❑ Agenda Date:May 7.2013
This agreement is approved as to technical forth and content and I as Department Director affirmatively state work on this project has not
been initiated prior to execution of the agreement:
DocuSigned bb
na y:
Department Director's Si turj±N " ;f¢vu Date: 9/27/2019
l� g QocuSigned by:
Department Director's Signature[Do Date:9/29/2019
NE062D1BF454FA..
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have
already begun or been completed please briefly describe the nature of the emergency condition that was addressed:
Information Technologies
(Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to
information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc '6ocusigned by: " rds,specifications,and requirements:
QCt$a �,4V'IA.t,{�6 9/26/2019
Office Of the Risk Management Office . 7FDCF0176800408. Date:
Financial Services
This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 9/30/2019
7NE5181ACC1409.
Leizal Services
This agreement is approved as t D035CB8304CA4A�ocuSigned by: ncy:
Office of the County Attorney �� CA4 _Date: 9/30/2019
4
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 5 of 5