Orange County NC Website
ORANGE-COUNTY <br />INSTITUTIONAL RESPITE <br />PROVIDER AGREEMENT <br />6- ,;�9 -9a- <br />This is to certify that the Council for Senior Citizens herein after <br />known as the Provider agency, located at 807 S. Duke Street, Durham, <br />NC 27701 on this first day of October, 1993 agrees to participate as a <br />provider in the Orange County Elderly Respite program for the period <br />October 1, 1993 through June 30, 1994. <br />1. The Provider agency agrees to provide necessary Institutional <br />Respite to approved recipients at a rate not to exceed $35.00 <br />per eight hour day upon the request of the Orange County <br />Department on Aging's Care Management Program. <br />2. The Provider Agency agrees to meet all service provision standards <br />for Institutuional Respite, such as training as required by the <br />State of North Carolina and provide documentation upon request. <br />(Attachment A) <br />3. The Provider Agency agrees to provide the Institutional Respite <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 />