HomeMy WebLinkAboutR 2018-493 Health - El Futuro mental health servicesDocuSign Envelope ID: C3C9F04F- 5F60- 45DB- 9D9D- ABDCD1AD4F94
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: $53,375 Purpose: Outpatient mental health and substance abuse treatment services Budget Code(s):
10414020 - 630000 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 -18 Approved by Board Yes® No
❑ Agenda Date: 6 -19 -18
This agreement is approved as to terftrfieffKWr1Aftd content:
SI 8/22/2018
Department Director's Signature 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
Risk Management
Date:
This agreement is approved for sufficienc dremse eystandards, specifications, and requirements:
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tSa C,bV1n,t,{f0
Office of the Risk Management Officer Q Date: 8/23/2018
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 l'q-,!�a �� Date: 8/23/2018
Legal Services
This agreement is approved as t e YVM%d sufficiency:
1' kMt, Tw6 8/23/2018
Office of the County Attorney m4nnnsgrupapt Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin. erg sollgoran eg countync•gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board
Revised 10/17
8
Date: