HomeMy WebLinkAboutR 2017-107-E Health Freedom House Recovery - Navigator Agreement Amendment to 2016-296-E DocuSign Envelope ID:84E24AAE-8F4A-4C46-8D70-6B738C4BEF95
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Freedom House Party/Vendor Contact Person: Patricia Hussey Contact Phone: 919-942-8083
Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip: 27516 Department: HEALTH Amount:
$9,701 Purpose: Navigator Agreement Amendment to contract 2016-296-E Budget Code(s): 10412020-681000-71453
Vendor#34104 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑
Renewal❑ Amendment ® Effective Date 1/1/17 Approved by Board Yes No Agenda Date:
This agreement is approved as to to c°81f Yid content:
tent:
VW t�VUt 2/28/2017
Department Director's Signature F14Fczrnon�4nF... Date:
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 -riast,warroacystandards, specifications,and requirements:
attSa. C,or .A,ltb 3/1/2017
Office of the Risk Management Officer B6F8-0Z5890498 Date:
Financial Services
This instrument has been pre-audited i gif-gifinditquired by the Local Government Budget and Fiscal Control Act:
relotri � � 3/7/2017
Office of the Chief Financial Officer � Date:
�6,4E5181ACC1109...
Legal Services
This agreement is approved as ta'1`redicf8igfg`'ahfd sufficiency:
Office of the County Attorne y Date: 3/14/2017
—1035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 July 2015