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DocuSign Envelope ID: A07C4620 -D9F0- 4228- 9B2F- lD499E5F8796 <br />Contract #68 -2036 <br />Personalized Patient Home Assistance, Inc. <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Personalized Patient Home Assistance, Inc. Party/Vendor Contact Person: Dorothea <br />Farrington Contact Phone: (919) 929 -4943 Party/Vendor Address: 109 Concord Drive City Chapel Hill State: NC <br />,Zip: 27516 Department: Social Services Amount: $415,647 Purpose: In -home aides services Budget Code(s): <br />10400220- 630000110400220 - 680026/10432020 - 630100/10432020 - 630105 Vendor # 13754 (N /A if new vendor) <br />Vendor is a BOCC consultant? Yes ❑ NoN Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ <br />Effective Date July 1, 2018 Approved by Board YesZ No❑ Agenda Date: May 7, 2013 <br />This agreement is approved as to to DocuSigned by: <br />�Na� �,bSlt6Rn. <br />Department Director's Signature DocuSigned by: <br />Department Director's Signature �aln. @7i��� <br />E9G2D1@F454FA... <br />tent: <br />Information Technologies <br />Date: 7/24/2018 <br />Date: 7/24/2018 <br />(Applicable only to hardwarelsoftware 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 />This agreement is approved for sufflcienG DocuSigned by: <br />aUSX �,DVln.t,{�6 <br />Office of the Risk Management Office 7FDCF9176800498... <br />Date: <br />rds, specifications, and requirements: <br />Financial Services <br />Date: 7/16/2018 <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: DocuSigned by: <br />7/25/2018 <br />Office of the Chief Financial Officer Date: <br />704E5181ACC1409... <br />Legal Services <br />This agreement is approved a5 t DocuSigned by: ncy: <br />.�l_ 7/25/2018 <br />Office of the County Attor�aey gp35C@8304CA4A6... — Date. <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Doi loyd @orangecountync.gov <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 />6 <br />Rev. 6116 <br />Date: <br />