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DocuSign Envelope ID: FCE3F262-3C43-41 138-130137-AE5E968413477 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Vantage Care and Staffing Party/Vendor Contact Person: Mildred Akachukwu Contact <br /> Phone: (919) 638-9456 PartyNendor Address: 1112 Pebble Creek Crossing City Durham State: NC Zip: 27714 <br /> Department: DSS Amount: $415,647 Purpose: Provide employees to perform in-home services to Orange County <br /> DSS clients Budget Code(s): 10400220-630000Vendor# (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 07/01/15 <br /> Approved by Board Yes® No❑ Agenda Date: <br /> This agreement is approved as to technical form rA2t4d by: <br /> N" (hSt6v, 7/21/2015 <br /> Department Director's Signature Date: <br /> aa€ti�s�ae�e 199... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insura landw4gbi;pecifications,and requirements: <br /> Q�ASA r,6vvt,e b 7/21/2015 <br /> Office of the Risk Management Officer 7_EDCE917Fnnnaoa Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSignne�d�by: <br /> � <br /> A/,L to D".�bvu <br /> Office of the Chief Financial Officer r Date: 7/22/2015 <br /> Legal Services <br /> This agreement is approved as to legal form and s 4e ^ed by: <br /> Office of the County Attorney1 Date: 7/28/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @oran eg countync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br />