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<br />8_/~-9~ <br />Page 1 of 5 <br />STAVE OF NORTH CAROLINA <br />DIVISION OF SOCIAL 9ERV[CES <br />PURCHASE CONTRACT <br />ma 6aeo1 <br />This Conva<t is entered loco between the Depacvnem of Social Services and'[he <br />Employment Seawlty Commission (refned ro as Provider) identified on Anadmrent A. <br />This contract shall consist of form DSS-249'1, Attachment A (DSS-1292) and Badger (DSS <br />6844). <br />The Department will pwchase specific services fiom Ne Provider as set foM in the <br />Contract in order to make optimal use of Ne f ilities, staffand programs of the Provider. <br />This Contrazr is subject to dre provisions ofall applicable Federal regulatiom and Smte <br />policies. <br />Subject to its other provisions, the tams of wis contract shall be in effect to and from <br />the dates specified ov Anaclvnenr A. <br />SECTION I: RESPONSIBILITIES <br />A. The Department will: <br />I. Ddermive client eligibility for service(s) In accordance with Pedeml and <br />Smte regulaticns; and <br />2. Inform the Provider on Form DSS-1360 concerning the eligibility of each <br />individual for the service, the period oftitve for which urvices are auNoriud <br />and any changes yr the individual's eligibility status; and <br />3. Reimbwse the Provider for service(s) purchased as described m Attachment A <br />of Ws Contract far eligible clients; and <br />4. Keep Ne Provider ivtbrtmed ofany Wtemtioms in and/or to the regulaticros <br />governing the service program; and <br />5. Accept fiscal responsibility for deviations from the terms oftlris Contract as a <br />resWr ofacs of the Depamnent or any of its officers, employees, agents or <br />representatives. <br />H. The Provider will: <br />1. Provide service(s) as specified iv Atlachmenr A of Chia Contract in accordan« <br />with applicable swWards for rha service(s); and <br />2. Famish information to the Department as r gaited to support the fall cost of <br />service(s) provided pursuant to this Covtrec[; and <br />