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e1d t <br /> Contract#68-2020 <br /> Premier Home Health Services,Inc. <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Premier Home Health Services,Inc. Party/Vendor Contact Person: Gregory Turchan Contact <br /> Phone: (914) 428-7722 Party/Vendor Address: 445 Hamilton Ave City White Plains State: NY Zip: 10601 <br /> Department: Social Services Amount: 415,647 Purpose: In-home aides services Budget Code(s): 10400220- <br /> 630000 Vendor#4543 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New❑ Renewal ® Amendment ❑ Effective Date July 1,2016 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature df sue-- Date: <br /> Department Director's Signature Date: <br /> Information Technologies <br /> (Applicable only to hardware/software 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 insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer � o.,e/ Date: b <br /> Financial Services <br /> This instrument has been pre-audited in the er r iced b the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal ervices <br /> This agreement is approved as to legal and ncy: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@oran.gecountync.gov <br /> The following signature block is for hard copies only is n t re fired for Docusign contracts: <br /> Office of the Clerk to the Board —Date:.. <br /> 6 <br /> Rev. 6116 <br />