HOME MODIFICATION CONTRACT AGREEMENT NUMBER 08-1921-0000Home Modification Contract Agreement Number • January 29th, 2020 • Indiana
Contract Type FiledJanuary 29th, 2020 JurisdictionThis HOME MODIFICATION CONTRACT (the “Contract”), executed on the date(s) set forth herein and effective from J uly 1st, 2019 through June 30, 2021, is by and between CICOA Aging & In-Home Solutions, Inc. ("CICOA"), and <<Provider/Contractor>> (“Contractor”) for the remodel, repair or other improvement to a residential structure (the “Modifications”) on real estate located at the address set forth on the vendor authorization (the “Vendor Authorization”) that is incorporated herein by reference (the “Real Estate”) that is owned by the property owner identified on the Vendor Authorization (“Property Owner”) on the following terms: