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DocuSign Envelope ID:FB5D6D3D-DC01-4E94-9986-9211E65DE6B9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Flaircare Inc. Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: 1210 SE Maynard Rd., Suite 202 City Cary State: NC Zip: 27511 Department: Aging Amount: $14,700 <br /> Purpose: in-home services Budget Code(s): 10432020-630100 & 630105 Vendor # 53657 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br /> Effective Date 7/01/17 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> -- <br /> /- ocu igned y: <br /> 8/18/2017 <br /> Department Director's Signature i 0-- I r Date: <br /> B7E962D1BF454FA... <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 /> 5---DocuSigned_by: <br /> 'll <br /> g a�SA. rbvvutl6 8/25/2017 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the maiNdricouired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Aniti 10,0x. Date: <br /> 8/25/2017 <br /> —7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to leAl forme ml sufficiency: <br /> ocu igne <br /> Office of the County Attorney ate, L SCo Date: 8/25/2017 <br /> 079A4D525C0F4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <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 /> Revised 2/17 5 <br />