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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Premier Home Health Services,Inc Party/Vendor Contact Person: Gregory Turchan Contact <br /> Phone: (914) 428-7722 Party/Vendor Address: 445 Hamilton Ave 10`h F1 City White Plains State: NY Zip: <br /> 10601Department:DSS Amount: $415,647 Purpose:Provide employees to erform in-home aide service to clients <br /> of Orange County DSS Budget Code(s): 10400220-630000 Vendor#45431 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective <br /> Date 07/01/15 Approved by Board Yes®No❑ Agenda Date: <br /> This agreement is approved as to technical f and content: <br /> Department Director's Signature Date: <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 insurance standards,specifications,and requirements: <br /> _ _-5 Office of the Risk Management Officer , 17 Date: <br /> D <br /> Financial Services AUG - 7 2015 <br /> This instrument has been pre-audited in the anner required by the Local Government Budg Y d Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer t Date: <br /> Legal Services <br /> This agreement is approved as to legal f a Buff i cy: <br /> Office of the County Attorney Date: 12 S <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Doi loy_d@orangecountync.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 />