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■ <br /> --Z)9 <br /> c:: 5.ecY s -0/0 ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (h Department,(2)IT, (3)Risk Management,N0 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: Premier Home Health Care Services,Inc Party/Vendor Contact Person: Gregory Turchan/Kathleen Craig Contact <br /> Phone: 914-428-7722 Party/Vendor Address:445 Hamilton Ave 10th Floor City White Plains State:NY Zip: 10601 Dcpurtmcnt:DSS <br /> Amount: not to exceed$415,647 Purpose: In Home services Budget Code(s): Vendor# /A if new vendor) Vendor is <br /> a BOCC consultant? Yes 9 No9 Contract Type: (Check one)New 9 Renewal Amendment 9 Effective Date 07/01/12 <br /> Approved by Board Yey0Nu0 Agenda Date: 06/15/12 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 Commissioners Yea0Y4o9. If submitted for bid were <br /> hida/RFPo received yeaFlNv9 8id/KFPnumher This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: dr4--4.'/l— <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information technology specifications: <br /> IT Director's Signature: Date: <br /> Risk Mu ment <br /> coverages:the following oo,ora�� [gGL; F_')\u ; E'Professional; 9 Property; OR No Insurance Required 9. Hold <br /> Contract pending receipt of Certificate of Insurance ' With incorporation of Insurance provisions as shown, this contract is approved <br /> by the Risk Manager: <br /> y� �J �/ <br /> |�imk��onugor`sSiguut"re� ������-�~ �^� Date: I(/1(7"Signature: ~ � � � ^ ^ <br /> Financial Services <br /> �� <br /> This Cnntmctioconddi pon appropriation by the Board o[Commixoinucm Yco�]��o��� A budget amendment is necessary <br /> before approval Yes9 Nurn. If budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> Financial Services Director's Signature: e411~-CA, <br /> )3' ii"-- Date:� '7� �1 �� <br /> � � <br /> County Attorney <br /> Approval by Board [X(Coutruuto $90,000.00 or more for goods or services, $258,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager 9 (Most other contracts$1,000 and above). Department Director approval only 9 (Under <br /> $1,000). This contract has b " <br /> ).1 <br /> i and approved hy the Attorney ux/n legal form and sufficiency: <br /> \ NN <br /> Attorney's Signature 0 lit �� Date:7 13 1 /2 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager esErNo9. <br /> This contract has been reviewed and is for signature by the Chai <br /> Monu&or,nS\gnuturc — / uN / Date: 7 ~( ~a-- <br /> Clerk t the Board <br /> Approved by 130CC on the day of ,20 . 3ubmitted0n,Chabmignmuncondbedoyof ,20 . <br /> Clerk's Signature: Date: <br /> 1<evlye4 March 2012 <br />