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DocuSign Envelope ID: 12D946D0-9D14-4754-B762-26F971 E30A53 Contract#68-2046 <br /> Medisolutions,Inc. <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Medisolutions Inc. PartyNendor Contact Person: John Okafor Contact Phone: 336-329-9060 Party/Vendor <br /> Address: 1146 North Church Street City:Burlington State:NC Zip:27217 Department:Social Services Amount:$13. 000 Purpose:In- <br /> home aide services Budget Code(s): 10400220-630000/I0400220-680026/10432020-630100/10432020-630105 Vendor 4 N/A (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ <br /> Effective Date October 1.2018 Approved by Board Yes®No❑ Agenda Date:May 7.2013 <br /> This agreement is approved as to technical forth and content and I as Department Director affirmatively state work on this project has not <br /> been initiated prior to execution of the agreement: <br /> DocuSigned bb <br /> na y: <br /> Department Director's Si turj±N " ;f¢vu Date: 9/27/2019 <br /> l� g QocuSigned by: <br /> Department Director's Signature[Do Date:9/29/2019 <br /> NE062D1BF454FA.. <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc '6ocusigned by: " rds,specifications,and requirements: <br /> QCt$a �,4V'IA.t,{�6 9/26/2019 <br /> Office Of the Risk Management Office . 7FDCF0176800408. Date: <br /> Financial Services <br /> This instrument has been pre-audited i Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 9/30/2019 <br /> 7NE5181ACC1409. <br /> Leizal Services <br /> This agreement is approved as t D035CB8304CA4A�ocuSigned by: ncy: <br /> Office of the County Attorney �� CA4 _Date: 9/30/2019 <br /> 4 <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 5 of 5 <br />