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DocuSign Envelope ID:695BA350-46C5-40DD-8F45-F768C9663EB4 <br /> Contract#68-2017 <br /> • <br /> KAH Care,L.L.C. dba Right at Home <br /> 1 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: KAH Care, L.L.C. dba Right at Home Party/Vendor Contact Person: Ken Helmuth Contact <br /> Phone: (919) 241-5292 Party/Vendor Address: 4905 Pine Cone Dr., Suite 2 City Durham State: NC Zip: 27707 <br /> Department: Social Services Amount: 415,647 Purpose: In-home aides services Budget Code(s): 10400220- <br /> 630000 Vendor# 62382 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: <br /> (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1,2017 Approved by Board Yes❑No <br /> ® Agenda Date: <br /> This agreement is approved as to to aecuSigned by: ant: <br /> Notal Coste t, 8/25/2017 <br /> Department Director's Signature Docusigned by: Date: <br /> E)61.1.ti(t, it)l)( Date: 8/25/2017 <br /> Department Director's Signature <br /> B7E902D1BF454FA... ,, <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 sufficienc Docusigned ay: ds, specifications,and requirements: <br /> s ' � 7/18/2017 <br /> Office of the Risk Management Officer 7FDCF917680049.8... 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 /> mrxwx. <br /> Office of the Chief Financial Officer ( D4 $1ACe14ns... Date: 8/28/2017 <br /> Legal Services <br /> This agreement is approved as to eocuSigned by: — icy: <br /> ' ,„„__, 8/29/2017 <br /> Office of the County Attorney Date: <br /> 4035CB8304CA4A9... <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 /> 6 <br /> Rev. 6/16 <br />