HomeMy WebLinkAboutR 2017-348-E CJRD - Freedom House Recovery Center for substance abuse education DocuSign Envelope ID: B02A2B92-39F5-4594-9D3B-CB44B8448954
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY
Department
Party/Vendor Name: Freedom House Recovery Center Party/Vendor Contact Person: Trish Hussey Contact
Phone: 919-942-2803 Party/Vendor Address: 104 Stateside Drive City Chapel Hill State: NC Zip: 27516
Department: Criminal Justice Resource Department Amount: $120 per referral Purpose: Substance Use Education
Budget Code(s): 10212020-720133 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No
❑ Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board
Yes❑Non Agenda Date:
This agreement is approved as to technical form and content:
---DocuSigned by:
Department Director's Signature bail& FU,tJA ,t-fit, Date:
`--27D78E8EFC51493... 1/2 1/2017
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 of insurance standards, specifications,and requirements:
DocuSigned by:
Office of Risk Management ((USX (OVIA,d & Date:
�---7FDCF9176800498... 7/27/2017
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
Office of the Chief Financial Officer rq,ovt ` rudia°'1. Date:
7D4E5181ACC1409... 7/27/2017
Legal Services
This agreement is approved as to legal form and sufficienevusigned by:
Office of the County Attorney itvA4t,S Date:
'-328DC480549A4F5... 7/27/2017
Clerk to the Board
Received for record retention:
Office of the Clerk to the Board Date:
Revised 6/16