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A <br />2 <br />ORANGE COUNTY <br />IN -HOME AIDE SERVICES <br />PROVIDER AGREEMENT <br />This is to certify that <br />(Name of Agency) <br />herein after known as the Provider agency, located at <br />(Address) <br />on this first day of July, 1992 agrees to participate as a provider in <br />the Orange County Elderly Respite Care Program for the period July 1, <br />1992 through June 30, 1993. <br />1. The Provider agency agrees to provide necessary In -Home Aide <br />services to approved recipients at a rate not to exceed $9.50 per <br />hour upon the request of the Orange County Department on Aging's <br />Care Management Program, hereinafter known as the Lead <br />Administrative Agency. <br />2. The Provider Agency agrees to meet all service provision <br />standards for In -Home Aide services, such as training as required <br />by the State of North Carolina and provide documentation upon <br />request. (Attachment A) <br />3. The Provider Agency agrees to provide the In -Home Aide services <br />within ten working days from the beginning service date specified <br />in the Purchase of Service Authorization on each approved <br />recipient. (Attachment B) <br />4. The Provider Agency agrees to ensure that such records as <br />necessary are kept to fully disclose the extent of the service <br />provided to recipients for four years and available for <br />inspection. <br />5. The Provider Agency agrees to submit a monthly bill for services <br />rendered payable within 30 days from date of receipt. <br />6. The Provider Agency agrees to adhere to the Inter - Agency Long Term <br />Care Management Procedures in the provision of the service. <br />(Attachment C) <br />7. The Provider Agency agrees to indemnify and save harmless Orange <br />County, its agents and employees from and against-any and all <br />loss, cost, damages, expense and liability caused by the failure <br />of the Provider to fully perform its obligations under this <br />agreement and in accordance with its terms; or by an accident or <br />other occurrence causing bodily injury, including death, sickness, <br />products or services rendered under this Agreement. <br />The Provider Agency shall maintain general liability insurance <br />with limits no less than $100,000 /occurrence. Certificates of <br />Insurance reflecting such coverage must be furnished to Orange <br />County and shall contain the provision that Orange County will be <br />given thirty days written notice of any intent to amend or <br />terminate such policies by either the Provider or the insuring <br />company. <br />