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DocuSign Envelope ID:4B2345D6-005A-4A36-BAA2-26E7C59B79FA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: KAH Care,L.L.C. dba Right at Home Party/Vendor Contact Person: Ken Helmuth Contact Phone: 919 241- <br /> 5292 PartyNendor Address: 4905 Pine Cone Dr., Suite 2 City: Durham State: NC Zip: 27707 Department: Social Services <br /> Amount: $415,647/$75,00.0 Purpose: In-home aides services Budget Code(s): 10400220-630000/10400220-680026/10432020- <br /> 630100/10432020-630105 Vendor#62382 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ❑ Renewal❑ Amendment ® Effective Date May 20,2019 Approved by Board Yes❑No❑ Agenda <br /> Date: <br /> This agreement is approved as to technicaI form and content and I as Department Director affirmatively state work on this project has <br /> not been initiated prior to execution Docusigned by: <br /> Noun A �b 6v, 6/17/2019 <br /> Department Director's Signature DAEi Docusigned by, Date: <br /> �A.1R,iu_ -�bw 6/17/2019 <br /> Department Director's Signature _ B7E062D1BF454=A.. Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Manaaeme <br /> This agreement is approved for sufficient---r:_-_.---Docusigned--dy:-.-_'--ds�specifications,and requirements: <br /> gr pp <br /> aUSA �,4VIA.t{�6 6/17/2019 <br /> Office of the Risk Management Officer Date; <br /> 7FDCF917E800495. <br /> Financial Services <br /> This instrument has been pre-audited z 7- Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> 6/19/2019 <br /> Office of the Chief Financial Office Date: <br /> 04E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: icy: <br /> 6/19/2019 <br /> Office of the County Attorney 4035CBS304CA4M Date: <br /> Clerk to the Board <br /> Received for record retention; <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 /> Revised 12118 <br />