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DocuSign Envelope ID: D12D805C-2FE9-453A-BC1C-9C0147D6BB12 <br /> Contract 968-2032 <br /> CNC/Access,Inc.d/b/a ResCare HomeCare <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: CNCIAccess Inc, d/b/a ResCare HomeCare Party/Vendor Contact Person: Mark Pietrow <br /> Contact Phone:(704)405-9035 PartyNendor Address: 834 Tyvola Road, Suite 108 City Charlott e State:NC Zip: <br /> 28217 Department: Social Services Amount: 415.647 Purpose: In-home_aides services Budget Code(s): <br /> 10400220-630000/10400220-680026/10432020-630100/10432020-630105 Vendor# 58844 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal [D Amendment ❑ <br /> Effective Date July 1,2018 Approved by Board Yes[K No[] Agenda Date:May? 2013_ <br /> This agreement is approved as to to '2Q1ANivia tand content: <br /> Nowt c� (,6610, 9/19/2018 <br /> Department Director's Signature ^^ _ Date: <br /> J��� 9/19/2018 <br /> Department Director's Signature aess2ori3a Date: <br /> Information Technologies <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficient foi amjaa":standards,specifications,and requirements: <br /> &A, [hnAA cb 7/30/2018 <br /> Office of the Risk Management Officei, use Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 0° 9/19/2018 <br /> Office of the Chief Financial Officer i'paES,a1AC-61409 Date: <br /> Leval Services <br /> This agreement is approved as t � d sufficiency: <br /> Office of the County Attorney 4 "\.` Date:9/20/2018 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DoIloyd@.orangecounty]2c. o_v <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 /> 6 <br /> Rev. 6116 <br />