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DocuSign Envelope ID:AA69FB9A-1A2E-426C-AC90-FAA292CFBF41 Contract#68-2041 <br /> Senior Care of Orange,Inc. <br /> Contract# 68-2041 Fiscal Year Begins Jul 1 2018 Ends June 30,_2014 <br /> This contract is hereby entered into by and between the Change County Department of Social Services(the "County")and <br /> Senior Care of Change County,Inc.(the"Contractor")(referred to collectively as the"Parties"). The Contractor's federal tax <br /> identification number or Social Security Number is 5656-2460604 <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) IRS Federal Tax Exempt Letter or 501(c)(3)(Attachment K) <br /> (9) State and Local Certifications(Attachment M) <br /> (10)Non-Discrimination,Clean Air Act,Clean Water Act(Attachment N) <br /> (11) Outcomes and Reporting(Attachment 0) <br /> (12)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 30,2014. <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$20,000. This <br /> amount consists of$20,004 in Federal (CFDA # State and County funds, $0 (source of other funds if <br /> 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 $24,000. <br /> Contract-General (07/10) Page 1 of <br />