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DocuSign Envelope ID: 17COF518- 9238 - 480E- 96E6- 77FFCCC2626B <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Senior Care of Orange County, Inc Party/Vendor Contact Person: Swayzene Riggsbee 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 2018 -19 Outside Agency /Human <br />Services Performance Agreeement Budget Code(s): 10495050- 719027 Vendor # 800047 (N /A if new vendor) <br />Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br />Effective Date 7/1/2018 Approved by Board Yes ®No❑ Agenda Date: 6/19/2018 <br />This agreement is approved as to technic ©ocusigned by: <br />CC <br />Department Director's Signature <br />704E5181ACC1469... <br />Information Technologies <br />Date: <br />8/17/2018 <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 insura DocuSigned�by: �ICations, and requirements: <br />aUSX �p°�,i;,6 8/17/2018 <br />Office of the Risk Management Officer Date: <br />7F6CF91788fl0498... <br />Financial Services <br />This instrument has been pre- audited in the manner oocusigned by: wernment Budget and Fiscal Control Act: <br />t <br />Office of 1 the Chief Financial Officer 7NE5181ACC1469... Date: 8/17/2018 <br />Legal Services <br />This agreement is approved as to legal four OocuSigned by: <br />��•��,. 8/17/2018 <br />Office of the County Attorney 4�35C68304CA4Ac Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync.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 Date: <br />(Senior Care of Orange County, Inc) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7/18 <br />