2017-107-E Health - Freedom House Recovery - Navigator Agreement Amendment to 2016-296-E

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DocuSign Envelope ID:84E24AAE-8F4A-4C46-8D70-6B738C4BEF95 ORANGE COUNTY-DEPARTMENT USE ONLY Department Party/Vendor Name: Freedom House Party/Vendor Contact Person: Patricia Hussey Contact Phone: 919-942-8083 Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip: 27516 Department: HEALTH Amount: $9,701 Purpose: Navigator Agreement Amendment to contract 2016-296-E Budget Code(s): 10412020-681000-71453 Vendor#34104 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal❑ Amendment ® Effective Date 1/1/17 Approved by Board Yes No Agenda Date: This agreement is approved as to to c°81f Yid content: tent: VW t�VUt 2/28/2017 Department Director's Signature F14Fczrnon�4nF... 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 -riast,warroacystandards, specifications,and requirements: attSa. C,or .A,ltb 3/1/2017 Office of the Risk Management Officer B6F8-0Z5890498 Date: Financial Services This instrument has been pre-audited i gif-gifinditquired by the Local Government Budget and Fiscal Control Act: relotri � � 3/7/2017 Office of the Chief Financial Officer � Date: �6,4E5181ACC1109... Legal Services This agreement is approved as ta'1`redicf8igfg`'ahfd sufficiency: Office of the County Attorne y Date: 3/14/2017 —1035CB8304CA4A9... 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: Revised July 2015