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<br />State of North Carolina <br />Division of Social Services <br />Contract Application <br /> <br />I. Contract Summary <br /> <br />A. This agreement is between Cabarrus County, North Carolina (the "County") <br />on behalf of the County Department of Social Services (heretofore and <br />hereinafter referred to as the "Department") and the Community Link <br />Programs of Travelers Aid Society of Central Carolinas, Inc. (the <br />".Provider") . <br /> <br />B.. This agreement shall be in effect from 7/1/05 through 6/30/06. <br /> <br />C. Services to be Provided: <br /> <br />( 1) <br />Service <br /> <br />(2) <br />Service Code <br /> <br />(3) <br />Number of Families <br />Served <br /> <br />Other Child Welfare <br />Services (Home Studies) <br /> <br />390 <br /> <br />176 - 220 <br /> <br />The Department will pay a monthly amount of $4,583.33 to the Provider regardless <br />of the number of home studies conducted during a given month, for a total of. <br />$55,000.00 for the Fiscal Year 2005-2006. <br /> <br />Any additional services should be listed in III Service Program Description <br /> <br />D. Area to be served: <br />Cabarrus County <br /> <br />E. Contract Identification: <br /> <br />1. Provider <br /> <br />a. Name of Contract Administrator Mr. Floyd Davis, Jr. <br />Telephone Number: (704) 372-'6640 <br /> <br />b. Name of Program Contact Person: Mr. Dennis Dauqhterty, <br />Supervisbr <br />Telephone Number: (704) 788-1462 <br /> <br />c. Proqram Name, Location and Mailinq Address: <br /> <br />Child Welfare Home Studies/Cabarrus County DSS/ <br />1303 South Cannon Blvd./Kannapolis, NC <br /> <br />d. Additional Service Delivery Sites: Homes of Clients in <br />Cabarrus County. <br /> <br />e. Statue: (X) Public <br />( ) Private, for profit <br />f. Provider ID Number <br /> <br />Private, non-profit <br />Individual <br /> <br />r: ~ZJ- <br />