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DocuSign Envelope ID: 3576E911 -72DE- 4480- 8C9C- 3DE5A840178D <br />Contract #68-2035 <br />Premier Home Health Care Services, Inc. <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Premier Home Health Services, Inc. Party/Vendor Contact Person: GregM Turchan Contact <br />Phone: (914) 428 -7722 Party/Vendor Address: 445 Hamilton Ave City White Plains State: NY Zip: 10601 <br />Department. Social Services Amount: $415,647 Purpose: In -home aides services Budget Code(s): 10400220- <br />630000 /10400220 - 680026/10432020 - 630100/10432020 - 630105 Vendor # 4543 (N /A if new vendor) Vendor is <br />a BOCC consultant? Yes ❑ No,® Contract Type: (Check one) New ❑ Renewal [D Amendment ❑ Effective <br />Date July 1, 2017 Approved by Board Yeso No❑ Agenda Date: May 7, 2013 <br />This agreement is approved as to to DomSigned by: <br />rm Seim <br />Department Director's Signature Doc-„s;g ed by: <br />�INE962[)lBF454FA... c iu, �"'�b_r <br />Department Director's Signatur <br />:ent: <br />Information Technologies <br />Date: 7/30/2018 <br />Date: 7/30/2018 <br />(Applicable only to hardwarefsoftware 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 sufficienc`. - oocusS e__ a ay:-- `-irds, specifications, and requirements: <br />ausa, (�Vlrt.t 6 7/27/2018 <br />Office of the Risk Management Office Date; <br />7F6CF817E800498... <br />Financial Services <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: Docu.signed by: <br />41. 7/31/2018 <br />Office of the Chief Financial Officer. 4E51s1ACC1400 ... Date: — <br />Legal Services <br />This agreement is approved as t oocusigned ay: - ncy: <br />7/31/2018 <br />Office of the County Attorney ao35ces3aa�A4a�... Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ DoIloyd 2orangecountync.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 />