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DocuSign Envelope ID:24E74F61-7B98-4FA9-92A7-F4F76B27FDlB <br /> Contract#68-2012 <br /> CNC/Access, Inc, d/b/a ResCare FlomeCare <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Departmen <br /> Party/Vendor Name: CNC/Access, Inc. &b/a ResCare HomeCare PartyNendor Contact Person. Rick Godwin <br /> Contact Phone: 704) 405-9035 Party/Vendor Address: 830 Tvvola Road, Suite 104A City CharlQ <br /> _q� State: NC <br /> Zip: 28217 Department: Social Services Amount: 415 6_47 Purpose: In-home aides services Budget Code(s): <br /> 10400220-630000 Vendor 4 58844 (N/A if new vendor) Vendor is a BOCC consultant? Yes [:1 NoZ Contract <br /> Type: (Check one)New F 1 Renewal Z Amendment F Effective Date July 1, 2016 Approved by Board Yes <br /> F NoZ Agenda Date: <br /> This agreement is approved as to technical form by: <br /> Department Director's Signature 666vu Date:8/16/2016 <br /> Department Director's Signature Date: 8/16/2016 <br /> JFA <br /> Information Technologies <br /> (Applicable on�ip to hardware/sofAvare purchases or related senices)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Date: <br /> Risk Nianagemen <br /> This agreement is approved for sufficiency of msu &T14,ff V8�s,:,specifications,and requirements: <br /> usa, ��t 7/7/2016 <br /> Office of the Risk Management Officer "77FDCF.17, .04., 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 /> 8/17/2016 <br /> Office of the Chief Financial Officer Date: <br /> 7154EST9Vcc 1-4og <br /> Le2al Services <br /> This agreement is approved as to legal form an fFiEq,-*ryp <br /> M <br /> Office of the County Attorney __._____DaW 8/17/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(t�orangecp�untyDc_goy <br /> The following signature block is for hard copies only and is not required for DOCUSiggin contracts: <br /> Office of the Clerk to the Board <br /> Rev. 6/16 <br />