Orange County NC Website
ra p ( b5 11✓75 <br />Contract Number00036254, Amom menl Number 1 / Pagel of 16 <br />AMENDMENT <br />This Agreement amends the contract bearing the effective date of 10/112017 beWSed the North Carolina <br />Department of Health and Human Services, Division of Social SeMCes, hereinafter referred W as the <br />'Division' and Orange County Department of Social Services, hereinafter referred W as the ' Contractor." <br />This Amendment is hereby of eWe on 10 /112017. <br />As proNded for under the terms of this contract, the Division and the Contractor agree to amend the <br />following contract provisions: <br />1. Refe ence'Effective PedW: The lamination date of 9/30/2018 has not changed <br />2. Reference 'Contractors Dutles': The Contractor shall provide the amended seMces as <br />described In the scope of work. <br />3. Reference'DIMsion's Dutlee: The total amount paid by the Division to the Connector is being <br />Increased by $240,000 from $399,908 to $639,908. This amended amount consists of $0 In <br />State funds, $0 In Local funds, $0 in Other funds and $240,000 in Federal funds. <br />The Contractor's matching requirement for this amendment is $240,000. The total contractor's matching <br />amount Is $639,808. <br />The contributions from the Connector shall be sourced from non - federal furs. <br />The total amendment amount Is $480,000. <br />The total contad amount Is $1,279,816. <br />Other Requirements: <br />Other Requirements: <br />Continuation of 4. Canirectoes Duties: <br />Any contract amentlment, budget amendment, orrealignment must be submitted to the DSS <br />Contact Office by July 1. <br />This contact will be In compliance with the Federal Office of Management and Budget (OMB) <br />CFR The 2 Part 200 which may be accessed at hqc'1/www.ecfrqcv1coi-IbiMeA- <br />dx?bcI=hmA-brmasaoTftIeB212cft2OO man 02 tot. <br />Continuation of 5. OWlsion's Dudes: <br />Sub- redpient name: Orange County Department of Social Services <br />Sul -mcipkcnt DUNS Number. 088563762 <br />Federal Awed Identification Number. 1716514C4062514 and 181 75NC4062614 <br />NCDHHS ACT2007 (Amendment Template) (Rev. 11.01.15) <br />