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DocuSign Envelope ID: EA1 E3D45-8E56-4C49-9F6F-48FC8401 EF8B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Senior Care of Orange Party/Vendor Contact Person: _ Contact Phone: Party/Vendor <br /> Address: 105 Meadowlands Drive City Hillsborough State: NC Zip: 27278 Department: Aging Amount: <br /> 8000.00 Purpose: Adult Day care Budget Code(s): 10432020-630100 and 630105 Vendor#800047 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigne�dFb-y::- '_ <br /> l+�uv. 6/29/2019 <br /> Department Director's Signature_ ,�87Eg62❑1BF454FA.. Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency "Docusigned by: ' Is,specifications,and requirements: <br /> QCt$a �,4W�.t,{�6 <br /> Office of the Risk Management Officer_ Date: 6/29/2019 <br /> 7FDCF9176800498. <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 /> Office of the Chief Financial Officer A.&I. Date: 6/30/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to le OocuSigned by: <br /> 4k� 7/1/2019 <br /> Office Of the C011rity Attorney 4035CB8304CA4A9 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 12/18 <br /> 8 <br />