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3 <br />Contract #68 -2012 <br />CNC /Access, Inc. d/b /a ResCare HomeCare <br />CONTRACT # 68 -2012 Fiscal Year Begins Julyl, 2012 Ends June 30, 2013 <br />NORTH CAROLINA <br />ORANGE COUNTY <br />IN-HOME AIDE PROVIDER SERVICES AGREEMENT <br />THIS AGREEMENT, is made and entered into this _ day of , 2012 by and <br />between Orange County, North Carolina for and on behalf of the Orange County Department of Social <br />Services and the Orange County Department of Aging (the "County "); and CNC /Access, Inc. d/b /a <br />ResCare HomeCare (the "Contractor ") whose federal tax identification number or Social Security <br />Number is: <br />WITNESSETH: <br />For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby <br />contracts for the services of the Contractor, and the Contractor agrees to provide the services to the <br />County in accordance with the terms of this Agreement. <br />1. Contract Documents: This Agreement consists of this document as well as each of the <br />documents listed below as indicated (collectively referred to as the "Contract Documents "). If the word <br />"Yes" appears beside the title of the contract document at the time both parties execute this Agreement, <br />then that document is included as part of this Agreement. If the word "No" appears beside the title of the <br />contract document at the time both parties execute this Agreement, then that document is not included as <br />part of this Agreement. Each of the Contract Documents made part hereof are attached hereto and <br />incorporated herein by reference to the same: <br />TITLE OF CONTRACT DOCUMENT YES/NO <br />(1) <br />The General Terms and Conditions (Attachment A) <br />YES <br />(2) <br />The Scope of Work, services, and rate (Attachment B) <br />YES <br />(3) <br />Federal Drug Free Workplace & Nondiscrimination Certification (Attachment C) <br />YES <br />(4) <br />Conflict of Interest Policy (Attachment D) <br />YES <br />(5) <br />No Overdue Taxes Certification (Attachment E) <br />YES <br />(6) <br />Certification Regarding Lobbying (Attachment G) <br />YES <br />(7) <br />Certification Regarding Debarment (Attachment H) <br />YES <br />(8) <br />Business Associate Addendum (Attachment I) <br />YES <br />(9) <br />Certification Regarding Transportation (Attachment J) <br />YES <br />