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Contract#68-2079 <br /> Personalized Patient Home Assistance, Inc. <br /> <br />Contract-General (06/19) Page 2 of 5 <br />Any unexpended grant funds shall revert to the County Department of Social Services/Human Services upon <br />termination of this contract. <br /> <br />7. Reporting Requirements: <br />Contractor shall comply with audit requirements as described in N.C.G.S. § 143C-6-22 & 23 and OMB Circular- CFR <br />Title 2 Grants and Agreements, Part 200, and shall disclose all information required by 42 USC 455.104, or 42 USC <br />455.105, or 42 USC 455.106. <br /> <br />8. Payment Provisions: <br />Payment shall be made in accordance with the Contract Documents as described in the Scope of Work, Attachment B. <br /> <br />9. Contract Administrators: <br />All notices permitted or required to be given by one Party to the other and all questions about the contract from one Party <br />to the other shall be addressed and delivered to the other Party’s Contract Administrator. The name, post office address, <br />street address, telephone number, fax number, and email address of the Parties’ respective initial Contract Administrators <br />are set out below. Either Party may change the name, post office address, street address, telephone number, fax number, <br />or email address of its Contract Administrator by giving timely written notice to the other Party. <br /> <br />For Services Performed on Behalf of the Department of Social Services: <br /> <br />IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS <br />Kim Lassiter Fisher, Adult Services Supervisor Kim Lassiter Fisher, Adult Services Supervisor <br />Orange County Department of Social Services Orange County Department of Social Services <br />P.O. Box 8181 113 Mayo Street <br />Hillsborough, NC 27278 Hillsborough, NC 27278 <br /> <br />(919) 245-2880 (919) 245-2880 <br /> <br />Lassiter@orangecountync.gov Lassiter@orangecountync.gov <br /> <br />For Services Performed on Behalf of the Department on Aging: <br /> <br />IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS <br />Kim Lamon-Loperfido, Aging Transitions Administrator Kim Lamon-Loperfido, Aging Transitions Administrator <br />Orange County Department on Aging Orange County Department on Aging <br />2551 Homestead Road 2551 Homestead Road <br />Chapel Hill, NC 27516 Chapel Hill, NC 27516 <br /> <br />919-245-4253 919-245-4253 <br /> <br />kloperfido@orangecountync.gov kloperfido@orangecountync.gov <br /> <br />For the Contractor: <br /> <br />IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS <br />Dorothea Farrington Dorothea Farrington <br />Personalized Patient Home Assistance Personalized Patient Home Assistance <br />109 Concord Drive 109 Concord Drive <br />Chapel Hill, NC 27516-3216 Chapel Hill, NC 27516-3216 <br /> <br />(919) 929-4943 (919) 929-4943 <br />(919) 929-7811 (919) 929-7811 <br />dmf@nc.rr.com dmf@nc.rr.com <br />DocuSign Envelope ID: 156DAB55-A512-46F1-B475-C827ADF67901