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DocuSign Envelope ID: B7EA7F20-FBF8-4080-B439-2B07E37432E0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: CNC/Access, Inc. d/b/a ResCare HomeCare Party/Vendor Contact Person: Mark Pietrow Contact Phone: <br /> (704) 405-9035 PartyNendor Address: 834 Tyyola Road, Suite 108 City Charlotte State: NC Zip: 28217 Department: Social <br /> Services Amount: $415,647/$75,000 Purpose: In-home aide services Budget Code(s): 10400220-630000/10400220- <br /> 680026/10432020-630100/10432020-630105 Vendor#59844 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® <br /> Contract Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date May 20,2019 Approved by Board Yes❑No <br /> ❑ Agenda Date: <br /> This agreement is approved as to technical 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 /> Department Director's Signature���gned by: Date: 9/9/2019 <br /> Department Director's Signatur Z�ci.IR,iu, -�bw Date: 9/9/2019 <br /> @7E902D1BF454=A.. <br /> Agreements for emergency services or repair are not subject to the above af6rniation. 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 Techoolo ies <br /> (Applicable only to hardware/software 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 Manay-ement <br /> This agreement is approved for sufficient—-r:- rds specifications and requirements: <br /> � FP oocusigned_. ___ by: > <br /> Office of the Risk Management OfficeC7FDCF0176800408 <br /> USA �,DV1A.t& Date:6/26/2019 <br /> . <br /> Financial Services <br /> This instrument has been pre-audited' oocusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 44E51S1ACC1409. � Date: 9/9/2019 <br /> 70 <br /> Legal Services <br /> This agreement is approved as ti - Doeusigned ay:" - ncy: <br /> .; J �, �.�,�__ 9/13/2019 <br /> Office of the County Attorney - .. Date: <br /> 4035C@8304CA4M - <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 />