HomeMy WebLinkAboutR 2019-704 DSS - KAH Care LLC dba Right at Home in home aide services DocuSign Envelope ID:5330770B-8F93-4746-9A9E-98B8628F995F Contract#68-2047
KAH Care,LLC dba Right at Home
ORANGE COUNTY—DEPARTMENT USE ONLY
PartyNendor Name: KAH Care,L.L.C.dba Right at Home_ Party/Vendor Contact Person: Kenneth Helmuth Contact Phone:(919 237-
2333 PartyNendor Address:4905 Pine Cone Dr.,Suite 2 City:Durham State:NC Zip:27707 Department: Social Services Amount:
321 600 Purpose:In-home aides services Budget Code(s): 10400220-630000/10400220-680026/10432020-630100/10432020-630105
Vendor#62382 (N/A if new vendor) Vendor is a BGCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal
Amendment ❑ Effective Date October 1,2019 Approved by Board Yes®No❑ Agenda Date:May 7,2013
This agreement is approved as to te, oocusigned by: itent:
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Department Director's Signature Qocusigned by: Date:
� '� �t�t�.+'' 10/1/2019
Department Director's Signatur B7E9Fi2D1BF454=A.. 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 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 sufficiency oocuSigned by: ds,specifications,and requirements:
aUSA c4Wt.t& 9/26/2019
Office of the Risk Management Officer 7FDCF9176800408. Date:
Financial Services
This instrument has been pre-audited it Docusigned by: the Local Government Budget and Fiscal Control Act:
('�� � � 10/2/2019
Office of the Chief Financial Officer �o4E5�s1ACC14o9. Date:
Legal Services
This agreement is approved as to OocuSigned by: icy
-4. �{ �f,pyh 10/2/2019
Office of the County Attorney ao35ces3oa�n4a� Date'
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:
Contract-General (06/19) Page 4 of 4