R 2016-493-E Health - El Futuro, Inc. for outpatient mental health, substance abuse treatment services

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DocuSign Envelope ID: E316C9D7-7607-400B-988E-8A99DF47DF8C 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: $48.500 Purpose: Outpatient mental health and substance abuse treatment services Budget Code(s): 10414020-63000 Vendor# 57915 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 7/1/16 Approved by Board Yes®No ❑ Agenda Date: 6/21/16 This agreement is approved as to to n�cD��`o�inda�id.cpntent: (��1 8/16/2016 Department Director's Signature csEO9ooFCSBSasE... Date: Information Technolosies (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 ' tpn� standards, specifications,and requirements: Q�St r,6rv�c,�16 8/16/2016 Office of the Risk Management Officer ,E .Fg�,esooags Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: 8/25/2016 Office of the Chief Financial Officer 7o4ES1a1ACC1409... Date: Legal Services This agreement is approved as t egDatcMFI daAd sufficiency: �� 8/26/2016 Office of the County Attorney 4035CE8304CA4A9 Date: Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.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: Revised 6/16 8