HomeMy WebLinkAboutR 2017-345-E Health - El Futuro, Inc. for outpatient mental health, substance abuse treatment services DocuSign Envelope ID:78BE6605-1 CDA-4976-978A-2870E79AD11 E
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: $52,250 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 7-1-17 Approved by Board Yes No
❑ Agenda Date: 6/20/17
This agreement is approved as to to caf u ' nm fbt d• 'co�,tent:
Vat (�t (I�t 7/26/2017
Department Director's Signature 5145A2CD945C40F... 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 sufficient 11481tig 'standards,specifications, and requirements:
MSA. rbvvutl6 7/26/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
6j a7, A.446,. 7/26/2017
Office of the Chief Financial Officer 7 0e Date:
Legal Services
This agreement is approved as to e :7„i`1'?Indd"lY�d'-��sufficiency:
A. r” 'tL SGb 7/26/2017
Office of the County Attorney 0,�A48�2 cO5 FB... Date:
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 2/17
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