Agenda - 06-29-1992 - Laserfiche WebLink

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.1 . 1% ORANGE COUNTY INSTITUTIONAL RESPITE PROVIDER AGREEMNT ,/_a�- ��Z This is to certify that Charles House Inc., herein after known as the Provider agency, located at 109 Hillcrest Street, Carrboro, NC 27510 on this first day of October, 1993 agrees to participate as a provider in the Orange County Elderly Respite program for the period October 1, 1993 through June 30, 1994. 1. The Provider agency agrees to provide necessary Institutional Respite to approved recipients upon the request of the Orange County Department on Aging's Care Management Program. 2. The Provider Agency agrees to accept the $35.00 per eight hour day reimbursement; any difference between this amount and the current fee for service will be charged against the Orange County General Fund allocation 3. The Provider Agency agrees to meet all service provision standards for Institutuional Respite, such as training as required by the State of North Carolina and provide documentation upon request. (Attachment A) 4. The Provider Agency agrees to provide the Institutional Respite within ten working days from the beginning service date specified in the Purchase of Service Authorization on each approved recipient. (Attachment B) 5. The Provider Agency agrees necessary are kept to full; provided to recipients for inspection. 6. The Provider Agency agrees rendered payable within 30 to ensure Y disclose four year; to submit days from that such records as the extent of the service 7 and available for a monthly bill for services date of receipt. 7. The Provider Agency agrees to adhere to the Inter- Agency Long Term Care Management Procedures in the provision of the service. (Attachment C) 8. The Provider Agency agrees to indemnify and save harmless Orange County, its agents and employees from and against any and all loss, cost, damages, expense and liability caused by the failure of the Provider to fully perform its obligations under this agreement and in accordance with its terms; or by an accident or other occurrence causing bodily injury, including death, sickness, products or services rendered under this Agreement. The Provider Agency shall maintain general liability insurance with limits no less than $100,000 /occurrence. Certificates of Insurance reflecting such coverage must be furnished to Orange County and shall contain the provision that Orange County will be given thirty days written notice of any intent to amend or terminate such policies by either the Provider or the insuring company.