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2018-435-E DSS - SHI-ORANGE LLC nonemergency medicaid transportation services
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2018-435-E DSS - SHI-ORANGE LLC nonemergency medicaid transportation services
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Last modified
7/25/2019 12:36:22 PM
Creation date
8/24/2018 9:15:21 AM
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Contract
Date
7/1/2018
Contract Starting Date
7/1/2018
Contract Ending Date
6/30/2019
Contract Document Type
Agreement
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$0.00
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R 2018-435 DSS - SHI-ORANGE LLC nonemergency medicaid transportation services
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DocuSign Envelope ID: AA1647C8 -B778- 4021- 9E83- EDC4C913A37C Contract #68 -1014 <br />SHI- Orange, LLC dba The Stratford <br />Contract # _68 -1014 Fiscal Year Begins_Julyl, 2018_ Endsjune 30, 2019 <br />This contract is hereby entered into by and between the Orange County Department of Social Services (the "County ") and SM- <br />Orange, LLC dba The Stratford (the "Contractor ") (referred to collectively as the "Parties "). The Contractor's federal tax <br />identification number is or Social Security Number is 20- 8037463. <br />1. Contract Documents: This Contract consists of the following documents <br />(1) This contract <br />(2) The General Terms and Conditions (Attachment A) <br />(3) The Scope of Work, description of services, and rate (Attachment B) <br />(4) Federal Certification Regarding Drug-Free Workplace & Certification. Regarding Nondiscrimination (Attachment C) <br />(5) Conflict of Interest (Attachment D) <br />(6) No Overdue Taxes (Attachment E) <br />(7) Certification of Transportation (Attachment J) <br />(8) State and Local Certifications (Attachment M) <br />(9) Non - Discrimination, Clean Air Act, Clean Water Act (Attachment N) <br />(10) Outcomes and Reporting (Attachment O) <br />(11) Contract Determination Questionnaire <br />These documents constitute the entire agreement between the Parties and supersede all prior oral or written statements or <br />agreements. <br />2. Precedence Among Contract Documents: In the event of a conflict between or among the terms of the Contract <br />Documents and this Agreement, the terms of this Agreement shall control. In the event of a conflict between or among the <br />terms of the Contract Documents, then the Contract Documents with the highest relative precedence shall prevail. The <br />order of precedence shall be the order of documents as listed in Section 1, above, with Attachment A having precedence <br />over Attachment B and so forth. If there are multiple Contract Amendments, the most recent amendment shall have the <br />highest precedence and the oldest amendment shall have the lowest precedence. <br />3. Effective Period: This contract shall be effective on July 1, 2018 and shall terminate on June 30, 2019. <br />This contract must be twelve months or less. <br />4. Contractor's Duties: The Contractor shall provide the services and in accordance with the approved rate as described in <br />Attachment B, Scope of Work, and shall meet the requirements set forth in Attachment O, Outcomes and Reporting. <br />5. County's Duties: The County shall pay the Contractor in the manner and in the amounts specified in the Contract <br />Documents. The total amount paid by the County to the Contractor under this contract shall not exceed $1. This amount <br />consists of $1 in Federal (CFDA # ), State and County funds, $0 (source of other funds if applicable). <br />[X] a. There are no matching requirements from the Contractor. <br />[ ] b. The Contractor's matching requirement is $ , which shall consist of- <br />In-kind [ ] Cash <br />[ ] Cash and In -kind [ ] Cash and/or In -kind <br />The contributions from the Contractor shall be sourced from non - federal funds. <br />The total contract amount including any Contractor match shall not exceed $1. <br />6. Reporting Requirements: Contractor shall comply with audit requirements as described in N.C.G.S. § 1.43C -6 -22 & 23 <br />and OMB Circular A -133 and shall disclose all information required by 42 USC 455.104, or 42 USC 455.105, or 42 USC <br />455.106. <br />Contract-General (07/ 10) Page 1 of 5 <br />
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