R 2017-401-E Aging - A Helping Hand, Inc. for in-home services

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DocuSign Envelope ID:B6F3A4D5-58B5-4AA8-A83B-674BB5844D06 ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: A Helping Hand, Inc. Party/Vendor Contact Person: Jennifer Ashley Contact Phone: Party/Vendor Address: 1502 W Hwy 54, Ste 405 City Durham State: NC Zip: 27707 Department: Aging Amount: $6,585 Purpose: in-home services Budget Code(s): 10432020-630105 Vendor # 32018 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7/01/17 Approved by Board Yes' No Agenda Date: This agreement is approved as to technical form and content: /^--DocuSigned by: Department Director's Signature Date: 8/18/2017 B7E962D1BF454FA... Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: r---DocuSignedby: Office of the Risk Management Officer MS& rbYVuth Date: 8/21/2017 7FDCF9176800498... Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: , ---DocuSigned by: Office of the Chief Financial Officer l'l Date: 8/21/2017 7D4E5181ACC1409... Legal Services This agreement is approved as to llka1ysutficiency: ate, ''L ' . -Nto 8/21/2017 Office of the County Attorney Date: 079A4D525C0F4FB... Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 2/17 5