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DocuSign Envelope ID:A6134E61D-095E-4A51-9823-BOEE0861F374 <br /> Contract Number 00041435, Amendment Number 4/ Page 1 of 20 <br /> AMENDMENT <br /> This Agreement amends the contract bearing the effective date of 7/29/2020 between the North Carolina <br /> Department of Health and Human Services, Division of Aging and Adult Services, hereinafter referred to <br /> as the "Division" and Orange County, hereinafter referred to as the "Contractor." This Amendment is <br /> hereby effective on 4/1/2022. <br /> As provided for under the terms of this contract, the Division and the Contractor agree to amend the <br /> following contract provisions: <br /> 1. Reference "Effective Period": The termination date of 6/30/2022 is changed to 9/30/2022 <br /> 2. Reference "Contractor's Duties": The Contractor shall provide the amended services as <br /> described in the scope of work. <br /> 3. Reference "Division's Duties": The total amount paid by the Division to the Contractor is being <br /> increased by$104,878 from $644,998 to $749,876. This amended amount consists of$0 in <br /> State funds, $0 in Local funds, $0 in Other funds and $104,878 in Federal funds. <br /> The Contractor's matching requirement for this amendment is $0. The total contractor's matching amount <br /> is $0. <br /> The total amendment amount is $104,878. <br /> The total contract amount is $749,876. <br /> All other terms and conditions as set forth in the original contract document shall remain in effect for the <br /> duration of this Agreement. <br /> Signatures follow on next page <br /> NCDHHS ACT2007 (Amendment Template) (Rev. 11.01.15) <br />