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DocuSign Envelope ID:412EAE5F-3824-43FA-AC95-54AOC4DF83A2 Contract468-2045 <br /> Personalized Patient Home Assistance, Inc. <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Personalized Patient Home Assistance,Inc. Party/Vendor Contact Person: Dorothea Farrington Contact Phone: <br /> (919) 929-4943 Party/Vendor Address: 109 Concord Drive City Chapel Hill State: NC Zip: 27516 Department: Social Services <br /> Amount:$253,600 Purpose:In-home aides services BudgetCode(s): 10400220-630000/10400220-680026110432020-630100/10432020- <br /> 630105 Vendor 4 13754 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ <br /> Renewal® Amendment ❑ Effective Date October 1,2019 Approved by Board Yes®No❑ Agenda Date:May 7,2013 <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 /> UocuSignedd by: <br /> Department Director's Signature�NDo��ned by: Date:10/1/2019 <br /> �c iu_ - �bw 10/1/2019 <br /> Department Director's Signature NE062D16F454=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 hardwarelso^are 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 sufficient IDocusigned by: y rds,specifications,and requirements: <br /> Qus . C6�6 9/26/2019 <br /> Office of the Risk Management Officer 7FDCF0176800408. Date: <br /> Financial Services <br /> This instrument has been pre-audited' I7ocusigned by: the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7oaEs1a1ACC1400 Date 10/2/2019 <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: ncy: <br /> 1. <br /> Office of the County Attorney h �` ' - Date: 10/2/2019 <br /> 4035C68304CA4M <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 />