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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 Summary <br /> <br />A. This agreement is between the Cabarrus County, North Carolina, on behalf <br />of the Cabarrus County Department of Social Services (heretofore and hereinafter <br />referred to as the "Department"). and the Coltrane LIFE Center, Inc., (heretofore <br />and hereinafter referred to as the "Provider"). <br /> <br />B. <br /> <br />This agreement shall be in effect from 7/1/04 through 6/30/05. <br /> <br />C. <br /> <br />Services to be Provided: <br /> <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 - 7.4 1972 1 Unit !:!:: 1 day <br /> <br />Transportation 250 7.4 3944 2 units = 1 day <br /> <br />Adult Day Health 155 6.2 1495 1 unit = 1 day <br /> <br /> <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 />q------- <br /> <br />~-~ <br />