HomeMy WebLinkAboutR 2020-029 Finance - New Destinations Cardinal performance agreement(New Destinations)
Orange County Cardinal Managed Care Fund Performance Agreement Page 7 of 9
Rev. 8/18
ORANGE COUNTY—DEPARTMENT USE ONLY
______________________________________________________________________________
Department
Party/Vendor Name: New Destinations Party/Vendor Contact Person: Larry Lackey Contact Phone: 919-414-2860
Party/Vendor Address: 5720 Turner Store Lane City Raleigh State: NC Zip: 27603 Department: Finance and
Administrative Services Amount: $35,100 Purpose: Cardinal Innovations Managed Care Performance Agreement
Budget Code(s): 10420020-710050 Vendor # 800744 (N/A if new vendor) Vendor is a BOCC consultant? Yes
No Contract Type: (Check one) New Renewal Amendment Effective Date 7/1/2019 Approved by
Board Yes No Agenda Date: 6/18/2019
This agreement is approved as to technical form and content:
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___________________________________ Date: ________
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ Date: _________
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ____________________________________ Date: _________
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney __________________________________________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:_________
DocuSign Envelope ID: AD9C9BE5-9A4D-4394-8476-901F7564FAF4