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DocuSign Envelope ID: 37D4F6F1-AC79-498E-8C6C-2FCA1 B5F95B6 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Freedom House Recovery Center, Inc. Party/Vendor Contact Person: Patricia E. Hussey <br /> Contact Phone: 919-942-2803 Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip: <br /> 27516 Department: Finance & Adm. Srv. Amount:$ 29,000 Purpose: Outside Agency Performance Agreement <br /> Budget Code(s): 10495050 710037 Vendor 4 800030 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> NoX Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date July 1,2015 Approved by <br /> Board YesX No❑ Agenda Date:June 16,2015 <br /> This agreement is approved as to technical foam u nd by:�nd�ontent: <br /> oc <br /> 8/4/2015 <br /> Department Director's Signature P blti Date: <br /> 232DFFC2CFA847B... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency C�7FDCF9176800498...myfffl '""4ta''n�1dards,specifications,and requirements: <br /> ra, (bvvt,e,ttb 8/12/2015 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited in t wTd�4uired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer PA UL to+bin, Date: 8/4/2015 <br /> Legal Services <br /> This agreement is approved as to RPTdMrW sufficiency: <br /> Office of the County Attorney Date: 8/13/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLyoran ecoun nc.g <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> (Freedom House Recovery Center,Inc) <br /> Orange County Outside Agency Performance Agreement Page 6 of 7 <br /> Rev. 6115 <br />