2016-481-E DSS - Chatham Transit Network for non-emergency Medicaid transportation

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DocuSign Envelope ID:BD69DF46-15CD-49E6-8588-93617FCCFB94 Contract 468-2030 Chatham Transit Network Contract# 68'2030 Fiscal Year Begins Juh/|„2016 Ends 3O, 2017 _ This contract imhereb� entered into ~b� and b�twceothe Orange County Dcpu�oecdof Social Services hhc "Coonty°> and ~ Chatham Transit Network (the "Contractor") (referred to collectively as the "Parties"). The Contractor's federal tax identification number or Social Security Number is | 1. Contract Documents: This Contract consists of the following documents (1) This contract (2) The General Terms and Co nditions(Attachment A) (3) Th Scope of Wor k, description of services, and rate e ( \ttach000t&) (4) l Certi cation Regarding Drug-Free Workplace&Certification Regarding Nondiscrimination(Attachment C) (5) Conflict of interest(Attachment D) (6) No Overdue Taxes (Attachment E) (7) Certification of Transportation (Attachment J) (8) IRS F d oru)I ax Exempt Lett r or 501(c)(3) ( A1taobm «mtK) (9) State and Local Certifications (Attachment M) (10) Outcomes and Reporting(Attachment N) (Ii)Contract Determination Questionnaire These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or agreements. 2. Precedence Among Contract Documents: In the event of a conflict between or among the terms of the Contract Documents and this Agreement,th terms of this greement shall control. in the event of a conflict between or among the terms of the Contract Documents, then the Contract Documents with the highest relative precedence shall prevail. The order of precedence shall be the order of documents as listed in Section 1,above, with Attachment A having precedence over Attachment B and so forth. If there are multiple Contract Amendments,the most recent amendment shall have the highest precedence and the oldest amendment shall have the lowest precedence. 3. Effective Period: This contract shall be effective on July 1, 2016 and shall terminate on June 30, 2017. This contract must be twelve months or less. 4, Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as described in Attachment B, Scope of Work, and shall meet the requirements set forth in Attachment N, Outcomes and Reporting. 5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the Contract Documents. The total amount paid hv the County to the Contractor under this contract shall not exceed $l0,0OO. This amount consists u[$|0,000in Federal (CFDA # ), State and County funds, $0 (s'ource of other funds if applicable). [X] a. There are no matching requirements from,the Contractor. [ ] b. The Contractor's matching requirement is$ / which shall consist of: ] lu-kiod [ ] {�avh ' l Cash and In-kind [ ] Cash and/or In-kind The contributions from the Contractor shall be sourced from non-federa funds. The total contract amount including any Contractor match shall not exceed $10,000. 6. Reporting Requirements:Contractor shall comply with audit requirements as described in N.C.G.S. § 143C-6-22&23 and OMB Circular A,l33 and shall disclose all information required hy42USC455.lV4,or42DSC455.l05,mr42USC 455.106. pu8elof5 Contract-General (87/10)