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~`"~~3 <br />•E~S~ <br />Contract #6H-2014 <br />Senior Care of Orange County, Inc. <br />Contract # 68-2014 Fiscal Year Begins May 1, 2011 Ends June 30, 2011 <br />This contract is hereby entered into by and between the Orange County Department of Social Services (the "County") and <br />Senior Care of Orange County, Inc. (the "Contractor") (referred to collectively as the "Parties"). The Contractor's federal tax <br />identification number or Social Security Number is <br />Contract Documents: This Contract consists of the following documents <br />(1) This contract <br />(2) The General Terms and Conditions (Attachment A) <br />(3) The Scope of Work, description of services, and rate (Attachment B) <br />(4) Federal Certification Regarding Drug-Free Workplace & Certification Regarding Nondiscrimination (Attachment C) <br />(5) Conflict of Interest (Attachment D) <br />(6) No Overdue Taxes (Attachment E) <br />(7) HIPAA Business Associate Addendum (Attachment I) <br />(8) Certification of Transportation (Attachment J) <br />(9) IRS Federal Tax Exempt Letter or 501(c)(3) (Attachment K) <br />(10) Outcomes and Reporting (Attachment N) <br />These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or <br />agreements. <br />2. Precedence Among Contract Documents: In the event of a conflict between or among the terms of the Contract <br />Documents, the terms in the Contract Document with the highest relative precedence shall prevail. The order of <br />precedence shall be the order of documents as listed in Paragraph 1, above, with the first-listed document having the <br />highest precedence and the last-listed document having the lowest precedence. If there are multiple Contract <br />Amendments, the most recent amendment shall have the highest precedence and the oldest amendment shall have the <br />lowest precedence. <br />3. Effective Period: This contract shall be effective on May 1, 2010 and shall terminate on June 30, 2011. <br />This contract must be twelve months or less. <br />4. Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as described in <br />Attachment B, Scope of Work, and shall meet the requirements set forth in Attachment N, Outcomes and Reporting. <br />5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the Contract <br />Documents. The total amount paid by the County to the Contractor under this contract shall not exceed $2,000. This <br />amount consists of $2,000 in Federal (CFDA # ), State and County funds, $0 (source of other funds if <br />applicable). <br />[X] a. There are no matching requirements from the Contractor. <br />[ ] b. The Contractor's matching requirement is $ ,which shall consist of: <br />[ ] In-kind [ ]Cash <br />[ ]Cash and In-kind [ ]Cash and/or In-kind <br />The contributions from the Contractor shall be sourced from non-federal funds. <br />The total contract amount including any Contractor match shall not exceed $2,000. <br />6. Reporting Requirements: <br />Contractor shall comply with audit requirements as described in N.C.G.S. § 143C-6-22 & 23 and OMB Circular A-133. <br />Contract-General (07/10) Page 1 of 3 <br />