Orange County NC Website
Browse       Search
DocuSign Envelope ID: 535BB656- 53CF- 457A- 98B2- D73B9641501 D <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Senior Care of Orange County, Inc Party/Vendor Contact Person: Alvonia Baldwin Contact <br />Phone: 919 - 245 -2017 Party/Vendor Address: 105 Meadowland Drive City Hillsborough State: NC Zip: 27278 <br />Department: Finance &Administrative Services Amount: 35000 Purpose: FY 2017 -18 Outside Agency Performance <br />Agreement Budget Code(s): 10495050719027 Vendor # 800047 (N /A if new vendor) Vendor is a BOCC <br />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 />This agreement is approved as to technical f rm �-niasLfflML it: <br />L +�� 1/22/2018 <br />Department Director's Signature 7o4ES181ACC1409 . Date: <br />Information TechnoloEies <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of in �4ff § �3�M'ds, specifications, and requirements: <br />4uso, pmth 1/24/2018 <br />Office of the Risk Management Officer 7FDCF91768OD498. Date: <br />Financial Services <br />This instrument has been pre- audited in the manne re 45�ghc Luca) Government Budget and Fiscal Control Act: <br />0.1� 1/22/2018 <br />Office of the Chief Financial Officer 7�aEslauCC,a�4 Date: <br />Legal Services <br />This agreement is approved as to legal form As44"t+gy: <br />1n In, , k. (, -NCO 1/24/2018 <br />r d a <br />Office of the County Attorney Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollovd{ Doran eco c. ov <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 <br />Date: <br />Orange County Outside Agency Performance Agreement Page 7 of 10 <br />Rev. 7117 <br />