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o� ')t k3 - 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 Name: CNC/Access, Inc.d/b/a ResCare Home Care Party/Vendor Contact Person: Kathleen Spooner Contact Phone: 704- <br /> 405-9035 Party/Vendor Address: 830 Tyvola Rd suite 104A City Charlotte State:NC Zip: 28217 Department: DSS Amount: <br /> $415,647 Purpose: In-home health services Budget Code(s): 10400220-630000 Vendor#58844 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ® Amendment Q Effective Date 07/01/13 <br /> Approved by Board Yes®No❑ Agenda Date: 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 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: <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 Q. 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 /> Risk Mana er's Signature: Date: <br /> Financial Services <br /> This Contract is condit' ned upon appropriation by the Board of Commissioners Yes5KNo❑. A budget amendment is,necessary <br /> before approval Yes[VNo❑. 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 Bnud et and Fiscal Control Act: <br /> Financial Services Director's Signature: V(zz-_Cv • -�. Date: / <br /> 1 <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). ApprovaHy Manager❑ (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has b n vie d and approved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: Ib �3 <br /> County Manager <br /> This contract has been reviewed and is app ve the Count Manager Ye No❑. <br /> This contract has been reviewed a9dy and ' to g t e e ;rNoE,. <br /> G <br /> Manager's Signature: Date:OE A <br /> Clerk to the Board <br /> Approved by BOCC on the_day of 120 Submitted for Chair signature on the day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />