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DocuSign Envelope ID:CADCC57A-44C1-4CBC-B33C-8C1C3E594289 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Magellan Healthcare, Inc. Party/Vendor Contact Person: MaryAnne Gallagher-Burns Contact <br /> Phone: 314-387-4258 Party/Vendor Address: 14100 Magellan Plaza Drive City Maryland Heights State: MO Zip: <br /> 63043 Department: Amount: $15,840.00 Purpose: Provide EAP Services to Orange County Employees <br /> Budget Code(s): 10250020/630000 Vendor# 19781 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑ No❑X Contract Type: (Check one)New ❑ Renewal ❑X Amendment ❑ Effective Date January 1, 2017 <br /> Approved by Board Yes❑No❑X Agenda Date: <br /> This agreement is approved as to tec 1c,, °T'>]Q9h;Jcontent: <br /> Department Director's Signature I/R,nu'JA ,I�/R� to mto <br /> Date. 11/1/2016 <br /> Information Technolouies <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 of insurance standards,specifications, and requirements: <br /> Fms&DocuSigned by: <br /> 11/1/2016 <br /> Office of the Risk Management Officer vvullb Date: <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer �[_ 4N Date: 11/1/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to le q Ag4ysufficiency: <br /> Office of the County Attorney 403 � Date: <br /> 11/1/2016 <br /> 5CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg coun -nc.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />