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<br />Attachment A <br /> <br />State of North Carolina <br />Division of Social Services <br />Contract Application <br /> <br />I. Contract Summarv <br /> <br />A. This agreement is between the Cabarrus County, North Carolina, <br />of the Cabarrus County Department of Social Services (heretofore and <br />referred to as the "Department") and the Coltrane LIFE Center, Inc" <br />and hereinafter referred to as the nproviderll). <br /> <br />on behalf <br />hereinafter <br />(heretofore <br /> <br />B. This agreement shall be in effect from 7/1/05 through 6/30/06. <br /> <br />Services t be Provided: <br />(1) (2) (3) (4) (5) <br /> Number of Number of Definition of <br /> Service Persons Units of Unit of <br />Service Code Served Service Service <br />Adult Dav Care 030 7.5 1954 1 Unit - 1 day <br />Transportation 250 7.5 3908 2 units - 1 dav <br />Adult Dav Health 155 6.2 1481 1 unit - 1 day <br /> .. <br /> <br />C <br /> <br />*AnY additional service should be listed in III - Service Program Description <br /> <br />D. Area to be served: <br /> <br />Cabarrus County, North Carolina <br /> <br />f"-~ <br />