Orange County NC Website
DocuSign Envelope ID:89919lD6-FE7F-44C7-A260-05472B80BB67 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: CNC/Access, Inc,dba ResCare HomeCare Party/Vendor Contact Person: Rick Godwin <br /> Contact Phone: (704) 405-9035 Party/Vendor Address: 830 Tyvola Rd City Charlotte State: NC Zip: 28217 <br /> Department: DSS Amount: $415,647 Purpose: Provide employees to perform in-home services for OCDSS <br /> Budget Code(s): 10400220-630000 Vendor# 58844 (NIA if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 07/01/15 Approved <br /> by Board Yes® No❑ Agenda Date: <br /> This agreement is approved as to technical form VMftgW by: <br /> Nawc� (hSf6v, 7/21/2015 <br /> Department Director's Signature BAE1�49@AgaB456 Date: <br /> Information Technolozies <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 insu 7ausa,smimJ93yspecifications,and requirements: <br /> r,6vvt,e,tt0 7/21/2015 <br /> Office of the Risk Management Officer FDCFQ1 ggggg 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: DocuSigned by: <br /> Office of the Chief Financial Officer <br /> rNAL tA+6VU oiFe�e Date: 8/2/2015 <br /> Leval Services <br /> This agreement is approved as to legal form and su r�"O 46;' fined by: <br /> Office of the County Attorney 1�, Date: $/3/2015 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DoIloydAorangccount,yne.g_ov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />