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DocuSign Envelope ID: D246BF38-3F94-4A4B-B6B9-C4F5BAC37487 <br /> Contract#68-2017 <br /> KAH Care,L.L.C. dba Right at Home <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> i <br /> Party/Vendor Name: KAH Care L.L.C. dba Right at Home Party/Vendor Contact Person.: Ken 1[elmllth Contact <br /> Phone: (91 2 1-5 92 Party/Vendor Address: 105 W. Corbin Street Suite 203 City Hills Mate: NC Zip: <br /> 27278 Department: Social Services Amount: 415,647 Purpose: In-home aides services Budget Code(s): <br /> 10400220-630000 Vendor#62382 (NIA if new vendor) Vendor is a BOCC consultant? Yes[:1 NoZ Contract <br /> Type: (Check one)New ❑ Renewal Z Amendment ❑ Effective Plate July 1, Approved by Board Yes <br /> ❑No® Agenda Date: <br /> This agreement is approved as to technical fort ¢ O:by: <br /> Naar c� 666v' <br /> Department Director's Signature Date: 7/21/2016 <br /> — Er�s,a� -- ......... .._ —OD <br /> Department Director's Signature ._.._..._...___ _...._... __......_._._.___..._.._ _ Date: _ <br /> Information Technologies <br /> (Applicable only,to hardivarelsoftware 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 insur Ib.- �''r"" ,specifications,and requirements: <br /> &a. (hnull6 7/18/2016 <br /> Office of the Risk Management.Officer FBeFs4i,6eea ----------___..........__m..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 /> R,tiry � 2osz <br /> Office of the Chief Financial Officer �v _.....Date: 7/28/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and s i p!igned by: <br /> Office of the County Attorney <br /> Date: 7/29/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion cr Dolloyd(i)orang-.Cou ttv_ ncgov <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 /> Rev. 6176 <br /> f� <br />