R 2016-533-E DSS - CHCCS - MOU for teen parent social worker of case management services

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DocuSign Envelope ID: 118BC799-C8EB-4C83-AE90-D0293DAB7607 ORANGE COUNTY---DEPARTMENT USE ONLY---HARED COPY ONLY Department Party/Vendor Name: Chanel Hill Carrboro City Schools Party/Vendor Contact Person: Scarlett Steinert Contact Phone: 919-96"7-8211x28284 Party/Vendor Address: 750 S Merritt Mill Rd City Chapel Hill State: NC Zip: 27516 Department: DSS Amount: - Purpose: Provide a teen parent social worker to do case management services for Dje�nant and t�arenting.teens in Orange County school district Budget Code(s): _ Vendor# (N/A if new vendor) Vendor is a BOCC consultant" Yes F-1 No❑ Contract 'Type: (Check one) New Renewal M Amendment F-1 Effective Date 07/01/16 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to technical form an Jt�igned by: Department Director's Signature Date: 8/31/2016 Information Technologies (Applicable only to hardwarelsqftware 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 insur o4walaticlo;specifications, and requirements: Office of Risk Management__, gusa, (hVVtff6 Date: 8/31/2016 FDGF9 17-6800498-—------------------------------- 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 F 1 409—Date: 9/19/2016 l--- ... Legal Services This agreement is approved as to legal form and cuff ' e5p.signed by: 9/20/2016 Office of the County Attorney Date: Clerk to the Board Received for record retention: Office of the Clerk to the Board Date: Revised 6116