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--- <br /> DocuSign Envelope ID: 9BE92A26-4CEE-4AC3 eC41'ee345E3551*4 <br /> ORANGE CO ENT USE ONLY <br /> Department <br /> Party/Vendor Name: Personalized Patient Home Assistance Inc Party/Vendor Contac Person: Dorothy Farrington <br /> Contact Phone: (919) 929-4943 Party/Vendor Address: lO9 Concord Dr City Chapel Hill State: NC Zip: 27516 <br /> Department: DSS Amount: $415,047 Purpose: In home servjcto DSS aging clients Budget C dc(a): |040022O- <br /> 6J0000 Vendor # 58844 (N/A if new vendor) Vendor is a BOCC consultant? Yes 0 NoD Contract Type: <br /> (Check one) New El Renewal 6, Amendment Fj Effective Date 07/01/10 Approved by Board YesL No[1] <br /> Agenda Date: <br /> 1 his agreement is approved as to technical form a . RmT6M�"«^'' <br /> k� ^ /.�� <br /> ."�^x� in�«w~ 7/14/2016 <br /> |�epx/�moutDirector's Signature Date: <br /> Information Technologies <br /> | <br /> (A/p/�m6/oonly/o6m,uwu,u�^�norm purchases or related om`� � r� reviewed | <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology <br /> Risk Management <br /> This agreement is approved for sufficiency of insura ..tutoriliswspecitications,xndrequiremeus: <br /> ^�0Dcco[��iob��onogemcut __. | ' — ' "-' ''-``- Date: <br /> 7/ll/ZOl� <br /> --- +p*oe*"8��o ----' �---____ <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: m="mo"*�: <br /> | ~�~�~==~^ 7/l4/ZOl6��YOvoof/hoK�hir[Finunxio|«�Olcxr___ Date: <br /> Legal Services <br /> DocuSigned by <br /> This agreement is approved as to legal form ondsufGc i <br /> Office ofthe Co t /ko — '-(- `-L 7/18/2016 <br /> uuy uru�� ____ ____ ^__^o` CB3C^A»� Duce: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br />