HomeMy WebLinkAboutR 2016-493-E Health - El Futuro, Inc. for outpatient mental health, substance abuse treatment services DocuSign Envelope ID: E316C9D7-7607-400B-988E-8A99DF47DF8C
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: El Futuro, Inc. Party/Vendor Contact Person: Kerry Brock Contact Phone: 919-688-7101
x632 Party/Vendor Address: 136 E. Chapel Hill Street City Durham State: NC Zip: 27701 Department: Health
Amount: $48.500 Purpose: Outpatient mental health and substance abuse treatment services Budget Code(s):
10414020-63000 Vendor# 57915 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes®No
❑ Agenda Date: 6/21/16
This agreement is approved as to to n�cD��`o�inda�id.cpntent:
(��1 8/16/2016
Department Director's Signature csEO9ooFCSBSasE... Date:
Information Technolosies
(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 ' tpn� standards, specifications,and requirements:
Q�St r,6rv�c,�16 8/16/2016
Office of the Risk Management Officer ,E .Fg�,esooags Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
8/25/2016
Office of the Chief Financial Officer 7o4ES1a1ACC1409... Date:
Legal Services
This agreement is approved as t egDatcMFI daAd sufficiency:
�� 8/26/2016
Office of the County Attorney 4035CE8304CA4A9 Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16
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