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DocuSign Envelope ID:5330770B-8F93-4746-9A9E-98B8628F995F Contract#68-2047 <br /> KAH Care,LLC dba Right at Home <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> PartyNendor Name: KAH Care,L.L.C.dba Right at Home_ Party/Vendor Contact Person: Kenneth Helmuth Contact Phone:(919 237- <br /> 2333 PartyNendor Address:4905 Pine Cone Dr.,Suite 2 City:Durham State:NC Zip:27707 Department: Social Services Amount: <br /> 321 600 Purpose:In-home aides services Budget Code(s): 10400220-630000/10400220-680026/10432020-630100/10432020-630105 <br /> Vendor#62382 (N/A if new vendor) Vendor is a BGCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal <br /> Amendment ❑ Effective Date October 1,2019 Approved by Board Yes®No❑ Agenda Date:May 7,2013 <br /> This agreement is approved as to te, oocusigned by: itent: <br /> ��11 {� 10/1/2019 <br /> Department Director's Signature Qocusigned by: Date: <br /> � '� �t�t�.+'' 10/1/2019 <br /> Department Director's Signatur B7E9Fi2D1BF454=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 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 sufficiency oocuSigned by: ds,specifications,and requirements: <br /> aUSA c4Wt.t& 9/26/2019 <br /> Office of the Risk Management Officer 7FDCF9176800408. Date: <br /> Financial Services <br /> This instrument has been pre-audited it Docusigned by: the Local Government Budget and Fiscal Control Act: <br /> ('�� � � 10/2/2019 <br /> Office of the Chief Financial Officer �o4E5�s1ACC14o9. Date: <br /> Legal Services <br /> This agreement is approved as to OocuSigned by: icy <br /> -4. �{ �f,pyh 10/2/2019 <br /> Office of the County Attorney ao35ces3oa�n4a� Date' <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@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 />