Orange County NC Website
Browse       Search
DocuSign Envelope ID:E522BFFC-A634-4A11-A162-195A3BE957A4 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Duke HomeCare & Hospice Party/Vendor Contact Person: BelleStarr Browning Contact <br /> Phone: 919-479-0318 Party/Vendor Address: 4321 Medical Park Drive, Suite 101 City Durham State: NC Zip: <br /> 27704 Department: Finance & Administrative Services Amount: 1100 Purpose: FY 2017-18 Outside Agency <br /> Performance Agreement Budget Code(s): 10495050710026 Vendor# 50707 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> ocunnS' ne n by: <br /> This agreement is approved as to technical for an co <br /> Department Director's Signature 7 4E5181ACC1409... Date: 8/31/2017 <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 in, no�7•��>' ass,,specifications, and requirements: <br /> MSA. £IVIU. l6 10/19/2017 <br /> Office of the Risk Management Officer 7 �158QQn� Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma er Peempeim the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7D4E5181ACC1409... Date: 8/31/2017 <br /> Legal Services <br /> ocuSigned by: <br /> This agreement is approved as to legal form and su Iciency � <br /> L1' Al, t.-tl' SC6 10/23/2017 <br /> Office of the County Attorney 079A4D525C0F4FB... Date: <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 /> (Duke HomeCare&Hospice) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />