R 2015-416-E Aging - A Helping Hand to provide respite services

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DocuSign Envelope ID:AEEF2585-3A35-4C7F-8DBC-032603CBB972 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: A Helping Hand Party/Vendor Contact Person: Jennifer Ashley Contact Phone: Party/Vendor Address: 1502 W NC 54, Ste 405 City Durham, State: NC Zip: 27707 Department: Aging Amount: $12,000 Purpose: respite services Budget Code(s): 10432020-630105 Vendor 4 32018 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date July 1,2015 Approved by Board Yes❑No❑ Agenda Date: This agreement is approved as to tec ^eb">& content: Department Director's Signature �y Date: $/4/2015 B7E962D1BF454FA... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: [_Aus.DocuSigned""by:''1L g r,6vvt,e b 8/11/2015 Office of the Risk Mana ement Officer Date: 7FDCF9176800498... Financial Services This instrument has been pre-audited in the pargeebequired by the Local Government Budget and Fiscal Control Act: 8/11/2015 Office of the Chief Financial Officer b�' Date: 232DFFC2CFA847B... Legal Services This agreement is approved as to legal form and sufficiency: DocuSigned by: Office of the County Attorney "j Date: 8/11/2015 4035C B83046A4A9... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 10/14 4