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DocuSign Envelope ID: 179DC6FB-73BA-4F64-A513-C8AB2B7D864F Contract4'68-2043 <br /> Senior Care of Orange County, Inc. <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> PattyNendor Name: Senior Care of Orange Coun Party/Vendor Contact Person: Alvonia Baldwin Contact Phone: 919-245-2017 <br /> PartyNendor Address: 105 Meadowlands Drive City Hillsborou State:NC Zip:27278 Department:Social Services Amount:$20.000 <br /> Purpose:Adult Day Care Budget Code(s): 10405020-764100/10405020-764101 Vendor 9 800047 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date Jul 1 2019 <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not <br /> been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 66 4ln 9/12/2019 <br /> Department Director's Signature pAEi E198A83B455 . Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hard►varelsoftware purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Mana-Zement <br /> This agreement is approved for sufficienc riiocusgned br`�-t-'--ds,specifications,and requirements: <br /> QC1$A �,4Wt.t& Data: 7/10/2019 <br /> Office of the Risk Management Officer 7FDCF0176800408. <br /> Financial Services <br /> �ocuSigned by: <br /> This instrument has been pre-audited i the Local Government Budget and Fiscal Control Act: <br /> rq 4 � Date: 9/13/2019 <br /> Office of the Chief Fiji ancial Officer 7NE5181ACC1400. — <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: ncy: <br /> 9/13/2019 <br /> Office of the County Attorney 4035CB8304CA4M Bate: <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 /> Contract-General (06/19) Page 4 of 4 <br />