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dao'/Y%' <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (\)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: TA&4M, LLCdhu Right o*Home Party/Vendor Contac Person: Tori Williams Reid PH.D. Contact Phone: 919- <br /> 241'5292 Party/Vendor Address: lO5W. Corbin St. Suite 2O3 City Hillsborough State: NC Zip: 27278 Department: DSS Amount: <br /> $415,647 Purpose: In-Home Aide services Budget Code(s): 10400220'630000 Vendor#68'20l0 /A if new vendor) Vendor is a <br /> BOCC consultant? Yes 0 NoEj Contract E NorJ Contract Type: (Check one)New fl Renewal Amendment Fl Effective Date 07/01/12 <br /> Approved by Board Yes No Agenda Date: 06N5/12 Title Of Contract: In-Home Aide Provider Services Agreement <br /> If this is a Grant Agreement, pre-application has been approved by the Board of CommimmionoreYcon Non. If submitted for bid were <br /> bidn/RFPo received Yex[l No 8id/BFp number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> , .../:_,A <br /> Department Director's Signature: _, '_ � ~ Date: <���~/��/]~ <br /> ./ <br /> if <br /> Director <br /> (Applicable only to purchases or related se cox)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and info '`.tio^ echnology specifications: <br /> IT Director's Signature: Date: <br /> Risk M t <br /> Include the following coverages: 0 CGL; 0 Auto; 0 WC; rofeoukmuL 0 Property; OR No Insurance Required 0. Hold <br /> Contract pending receipt of Certificate of Insurance 0. With incorporation of Insurance provisions as shown, this contrac is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: &' ' 24(.1z~~ <br /> �^y ��� 1/ � ' <br /> .~ = '-�//QL �� �~ <br /> Financial Services <br /> xi is condition Y L . Ahud&� nmcodmem is necessary <br /> before approval YesEl If budget amendment is necessary, please uuuchtuthis boon. his iva�umenthas been pre-audited inthe <br /> manner required by the Lo <br /> Government Budget and Fiscal Control <br /> ^7 �/ <br /> Financial Services Director's 8igmmtunx� / � Date: ^ / �� } l- <br /> � ~.��-»��.~._� �` ' ^��-~_ � / . <br /> ca �' i=l��°1 ^ <br /> county Attorney <br /> Approval by Board Igl (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, many BOCC <br /> consultant contract). Approval ey M4unuger Fl (Most other contracts$1.000 and above). Department Director approval only 11 (Under <br /> $1.000). This contract has be- cvie°u ~ d— ~^dby8`e&uoneyuytuiegu|fonnuudouO5cie <br /> < /' <br /> t '~Date: — <br /> Attorney's Signature I <br /> County This contract has been reviewed and �opprovodhy�eCou NoLJ. <br /> This contract has been reviewed and is for signa mr by the air `/eoIffiN»LJ. <br /> Manager's Signature: I 0 i y / o <br /> Date: 7-10—/-2--- <br /> Clerk to the Board <br /> Approved by BOCC on the day of , o . Submitted for Chair signature on the day of ,20 . <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />