HomeMy WebLinkAboutR 2017-480-E Finance - Freedom House Recovery Center, Inc. - Outside Agency Performance Agreement DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
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 & Administrative Services Amount: 36000 Purpose: FY 2017-18 Outside Agency
Performance Agreement Budget Code(s): 10495050710037 Vendor# 800030 (N/A if new vendor) Vendor is a
BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date
7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017
This agreement is approved as to technical orb° ! `eti$lent:
(710.../6A 0 d 8/31/2017
Department Director's Signature 7f4R1ACC1409 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 of ins ; 4atipsh.is,,Lspecifications,and requirements:
Q�dso. C6v,u i' 0 8/31/2017
Office of the Risk Management Officer ZEn('FQVRRno4g8 Date:
Financial Services
This instrument has been pre-audited in the °?et iR by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer � � Date: 8/31/2017
7 D4€54-84-AGG140 9...
Legal Services
D uSi ned b
This agreement is approved as to legal form d uTc?e}c� ,,:',�
ate' Marv.`L 1-MO 9/5/2017
Office of the County Attorney 079A4D525c0F4FB_. 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:
(Freedom House Recovery Center,Inc.)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17