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Revised 07/20 <br />[Departmental Use Only] <br /> TITLE A.Perez-Hygienist Svcs. <br /> FY 2021-2022 <br />NORTH CAROLINA <br /> TEMPORARY SERVICES AGREEMENT <br />ORANGE COUNTY <br /> <br />THIS AGREEMENT, is made and entered into this 28th day of June, 2021 by and between Orange <br />County, North Carolina (the "County") party of the first part; and Ashley Perez (the "Provider"), <br />party of the second part; <br />W I T N E S S E T H: <br /> <br />For the purpose and subject to the terms and conditions hereinafter set forth, the County hereby <br />contracts for the services of the Provider, and the Provider agrees to provide the services to the <br />County in accordance with the terms of this Agreement. <br /> <br />1. TERM <br />The term of this Agreement shall be July 1, 2021 through October 29, 2021. In no event shall this <br />Agreement extend more than 7 days beyond 10/29/21 unless a written agreement modifying this <br />Agreement is signed by both Parties as an amendment to this Agreement. <br /> <br />2. MAXIMUM AMOUNT PAYABLE <br /> <br />The contract amount shall not exceed $16,416.00. <br /> <br />3. SERVICES <br /> <br />Provider agrees to provide the following services: Provide dental hygienist services to patients of <br />Orange County Health Department dental clinic at a rate of $38 per hour, or $304 per full clinic <br />day.. <br /> <br />4. PAYMENT <br /> <br />A form of invoice shall be provided to Provider by County. Provider shall submit this invoice for <br />services provided on or within a reasonable amount of time after the last day of each applicable <br />County payroll period. The invoice shall be signed and dated by the Provider or an officer or agent <br />of Provider. It shall detail all services provided in payment requests along with detailed <br />timekeeping of time spent in furtherance of the provision of services set out in this Agreement. The <br />County will endeavor to make payments to Provider within fifteen (15) days of receipt of and <br />approval of the invoice by the contracting department. <br /> <br />In the event the amount stated on an invoice is disputed by the County, the County may withhold <br />payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. <br />Should Provider fail to perform its duties under the terms of this Agreement, County may, without <br />fault or penalty, withhold any payment associated with the work to be performed until such time as <br />said work is completed. <br /> <br />5. RELATIONSHIP OF PARTIES <br />Provider is an independent contractor of the County. Provider represents that it has or will secure, <br />at its own expense, all personnel required in performing the services under this Agreement. Such <br />personnel shall not be employees of or have any contractual relationship with the County. All <br />personnel engaged in work under this Agreement shall be fully qualified and shall be authorized or <br />permitted under state and local law to perform such services. It is f urther agreed that the Provider <br />DocuSign Envelope ID: 7C92EBC6-C659-47CF-AB66-197597C1911BDocuSign Envelope ID: 8820E63B-A189-4552-96CE-F9ADBC4DF87D