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Exhibit 14A: List of Subcontractors Region F - FY 19 County Cabarrus <br />Provider Name: Cabarrus DHS Provider Code: F012 <br />List each subcontractor in the chart below. A subcontractor is defined as an entity that has been contracted to do a Job within the scol <br />provider's grant award. The subcontractor is accountable for the same requirements as the service provider, depending on the terms <br />Subcontractors must adhere to service standard requirements by the Division of Aging and Adult Services. Do not list vendors who pr <br />'purchase of service'. These are services which do not follow prescribed service standards and are goods or services sold equally to; <br />Subcontractor <br />Type Agency <br />Subcontracted <br />Subcontractor Contact Name, <br />Scope of the Subcontract (Briefly describe <br />Name <br />Non -Profit <br />Service Name <br />Address <br />requirements that will be delegated to the sl <br />For -Profit <br />8 Phone Number <br />eligibility determination, service authorizatic <br />assessments/reassessments, preparation a <br />Government <br />meals, provision of a ride and ddver/require <br />an In -Home Aide plan of care, aide oompeb <br />supervision,etc.) <br />Sandy Mullins <br />Senior Helpers <br />For -Profit <br />In -Home Aide <br />1000 Copperfield Blvd NE <br />provision of In -Home Aide Services L <br />Services II & III <br />Concord, NC 28025 <br />704-792-1001 <br />Dana Ramsey <br />ResCare <br />In -Home Aide <br />320 Copperfieltl Blvd <br />Homecare <br />For -Profit <br />Services II & III <br />Concord, NC 28025 <br />provision of In -Home Aide Services L <br />704-7931220 <br />Julie Conrad <br />In -Home Aide <br />250 Branchview Or. <br />Interim Homecare <br />For -Profit <br />Services II & III <br />Concord, NC 28025 <br />Provision of In -Home Aide Services L <br />704788-3483 <br />Adult Day Cam <br />Susan Caudle <br />Coltrane L.I.F.E. <br />321 Cordon Ave., SW <br />Provision of Adult Day Care and Adul <br />Center <br />Non -Profit <br />Adult Da y <br />Concord. NC 28025 <br />Services <br />Health <br />704-788-1215 <br />Adult Day Care <br />Ruby Kumar <br />University Adult <br />1324 John Kirk Dr. <br />Provision of Adult Day Care and Adul <br />Care <br />For -Profit <br />Adult Day <br />Charlotte, NC 28283 <br />Services <br />Health <br />704-510-0030 <br />Attest Statement: Providers uMIAng subcontractors must provide assurance that both for profit and non-profit subcontractors are compliant mth stale and federal mgule <br />the subcontractor A) has not been suspended or debased (G.S. §14368-23; 09NCAC03M), B) has not been barred from doing business at the fWeml level, C) la able I <br />Grant CenlOcetion of No Overdue Tax Debts-, D) has obtained all licenses, permits, bonds and Insurance necessary for carrying out HCCBG Services, In addition, Noy <br />registered as a charitable (501 c3) orgenlmtlon Wth Ne federal government. <br />Provider Signature: rby1 Yj. Ull� Title: ZAS'Dir..W Dare: 51231ab[T <br />Version 2016 Page& <br />Version 2016 <br />F-2 <br />Attach menl number 1 \n <br />