HomeMy WebLinkAboutR 2015-432-E Finance - Freedom House Recovery Center, Inc. - 2015-16 Outside Agency Performance Agreement DocuSign Envelope ID: 37D4F6F1-AC79-498E-8C6C-2FCA1 B5F95B6
ORANGE COUNTY—DEPARTMENT USE ONLY
Deuartment
Party/Vendor Name: Freedom House Recovery Center, Inc. Party/Vendor Contact Person: Patricia E. Hussey
Contact Phone: 919-942-2803 Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip:
27516 Department: Finance & Adm. Srv. Amount:$ 29,000 Purpose: Outside Agency Performance Agreement
Budget Code(s): 10495050 710037 Vendor 4 800030 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑
NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by
Board YesX No❑ Agenda Date:June 16,2015
This agreement is approved as to technical foam u nd by:�nd�ontent:
oc
8/4/2015
Department Director's Signature P blti Date:
232DFFC2CFA847B...
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency C�7FDCF9176800498...myfffl '""4ta''n�1dards,specifications,and requirements:
ra, (bvvt,e,ttb 8/12/2015
Office of the Risk Management Officer Date:
Financial Services
This instrument has been pre-audited in t wTd�4uired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer PA UL to+bin, Date: 8/4/2015
Legal Services
This agreement is approved as to RPTdMrW sufficiency:
Office of the County Attorney Date: 8/13/2015
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLyoran ecoun nc.g
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
(Freedom House Recovery Center,Inc)
Orange County Outside Agency Performance Agreement Page 6 of 7
Rev. 6115