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DocuSign Envelope ID:456CB831-89E2-409B-8715-A7lC362353A4 Contract 468-2014 <br /> Senior Care of Orange County, Inc. <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Senior Care ofDrqng���� Party/Vendor Contact Person: Alvonia Baldwin Contact Phone: (919)245-2017 <br /> Party/Vendor Address: 105 Meadowlands Drive City Hillsborough State:NC Zip:27278 Department:�ocial Services Amount:$20,00 <br /> Purpose:Adult Day Health Budget Code(s): 10405020-764100 Vendor#800047 (N/A if new vendor) Vendor is a BOCC consultant? <br /> YesF�NoE Contract Type:(Check one)New F1 Renewal E Amendment F1 Effective Date July 1,201 Approved by Board Yes <br /> El No[E Agenda Date:- <br /> This agreement is approved as to technical form an Coi�Rfjgnel ly: <br /> Department Director's Signature 666v" Date: 8/2/2016 <br /> Information Technologies <br /> (Applicable only,to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Ntanagement <br /> This agreement is approved for sufficiency of insurance 1[ro requirements: <br /> Office of the Risk Management Officer Date: 7/29/2016 <br /> Financial Services <br /> Q <br /> This instrument has been pre-audited in the manner re uireyVs)'PTh%bLoca1 Government Budget and Fiscal Control.Act: <br /> rl� 8/2/2016 <br /> Office of the Chief Financial Officer )4E5181ACC1409 Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufflicienc . DocuSigned by: <br /> 4��q 1�� Date: 8/3/2016 <br /> Office of the County Attorney <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyc �orangec�ounvvnc.�Yov <br /> Qj <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 /> Contract-General (07/10) Page 5 of 5 <br />