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I r-, <br /> ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing Order: (1) 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 Names MM L.L.C.dba Right at Home Party/Vendor Contact Person: Tori Williams Reid Contact Phone: 919 241- <br /> 5292 Party/Vendor Ad ess: 105 W Corbin St- Durham/Chapel Hill City Hillsborough State:NC Zip: 27278 Department: DSS <br /> Amount:,$415,647 P ose: In home services Budget Code(s): 10400220630000 Vendor#59654 (N/A if new vendor) Vendor is a <br /> BOCC consult . Yes❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment ❑ Effective Date 07/01/13 <br /> A�Prr07 by Board Yes®No❑ Agenda Date: 05/07/13 Title of Contract: In-Home Aide Provider Services Agreement <br /> If fFis is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: <br /> Department Director's Signature: Date: 07-01-13 <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 Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required 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:g N <br /> Risk Manager's Signature: �� 4y,1 Date: ` 11 <br /> g <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary <br /> before approval Yesn No 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 Bud a and Fiscal Contr Act. vJ ,r! <br /> Financial Services Director's Signature: C �C Date: / ) <br /> County Attorney <br /> Approval by Board (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Manager❑ (Most other contracts$1,000 and above). Departmen Director approval only ❑ (Lnd <br /> $1,000)..This contract ha een reviewed and approved by the Attorney as to legal form and sufficienc�gwj?:1p�i V6 ort S � '15 <br /> 40 AfL",o 4�re- rIZ� GK tD Stsn'i"+iC 4.kA 44( F4t*re tontyA -e C rr ri� <br /> Attorney's Signature Date: -7 1.22J I <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes <br /> This contract has been reviewed and is for signature by the Chair�es❑ / <br /> ` . <br /> Manager's Signature: V - Date: <br /> Jerk to the Board <br /> Approved by BOCC on the day of 4 ,20 . Submitted for Chair signature on the_day of ,20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />