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�-l8 <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 Name: CNC/Access,Inc dba ResCare Home Care Party/Vendor Contact Person: Malissa Pompey 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:Provide in home health services for DSS clients Budget Code(s): 10400220-630000 Vendor# (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective <br /> Date 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: 07 <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 sho roved <br /> by the Risk Manager: D � @ � D T T <br /> 1 <br /> Risk Manager's Signature: Date: AUG — 5 2014 <br /> gl� <br /> Financial Services ��- <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[� A bu amendment is necessary <br /> before approval Yes[:]No[. If budget amendment is necessary,please attach to this form. This instrument has been pre-au ite to e <br /> manner required by the Local Government1ludget and Fiscal Control Act:Financial Services Director's Signature: 0 A. Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts $90,000.99 or more for goods or services, $250,000.00 or more for construction, or any BOCC <br /> consultant contract). Approval by Ma er (Most other contracts$1,000 and above). Department Director approval only ❑ (Under <br /> $1,000). This contract has been revie e d ved by the Attorney as to legal form and sufficiency: <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes /Noo. <br /> This contract has been reviewed and is fo gnature by the Chair Yes❑No❑. <br /> Manager's Signature: Date: <br /> Clerk to the Board <br /> Approved by BOCC on the_day of ,20 Submitted for Chair signature on the day of 20 <br /> Clerk's Signature: Date: <br /> Revised March 2012 <br />