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2018-288-E DSS - KAH Care right at Home
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2018-288-E DSS - KAH Care right at Home
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Last modified
7/23/2019 5:05:37 PM
Creation date
7/16/2018 10:22:53 AM
Metadata
Fields
Template:
Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Agreement - Services
Agenda Item
5/7/13
Amount
$415,647.00
Document Relationships
2019-348-E DSS - KAH Care-Right at Home contract amendment
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Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2019
R 2018-288 DSS - KAH Care Right at Home
(Message)
Path:
\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2018
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DocuSign Envelope ID: D04FOC3D- lC80- 4E9C- AF06- 1741EB6CCB39 <br />-' <br />Right <br />at <br />�, YlaaLgar�rf 4905 Pine Cone Drive, SUITE 2 1 P 919.237.2333 i www.randch.com <br />DURHAM, NC 27707 i F 919.237.2152 i kh@randch.com <br />ATTACHMENT E <br />OVERDUE TAXES <br />Orange County Department of Social Services <br />Contract #68 -2017 <br />KAH Care, L.L.C. dba Right at Home <br />Date: June 30, 2018 <br />To: {Orange County Department of Social Services <br />Certification: <br />i certify that the KAH Care, LLC does not have any overdue tax debts, as defined by N.C.G.S. 105 -243.1 °, at <br />the federal, State, or local level. I further understand that any person who snakes a false statement in violation <br />ofN.C.G.S. 143C- 6 -23(c) is guilty of criminal offense punishable as provided byN.C.G.S. 14312- 10 -1(b). <br />Sworn Statement: <br />Kenneth Helmuth being duly sworn says that he is the Board Chair of KAH Care, LLC of Durham in the State <br />of North Carolina; and that the foregoing certification is true, accurate and complete to the best of our <br />knowledge and was trade and subscribed by him. I also acknowledge and understand that any misuse of State <br />funds will be reported to the appropriate authorities for farther action. <br />Sworn to and st <br />a <br />re and Seal) <br />- ate of said certification. <br />MICHAEL R PICOANELL <br />Notary Public, North Carolina <br />Orange County <br />my G ission ><pirss <br />— �Is- --- WiIlCommission Expires:—VA I 'L <br />I G.S. 165 -243.1 defines: Overdue tax debt. — Any part of a tax debt that remains unpaid 96 days or more after the notice or final <br />assessment was mailed to the taxpayer. The term does not include a tax debt, however, if the taxpayer entered into an installment <br />agreement for the tax debt under G.S. 165 -237 within 96 days after the notice of final assessment was mailed and has not Failed to make <br />any payments due under the installment agreement." <br />
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