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R 2017-107-E Health Freedom House Recovery - Navigator Agreement Amendment to 2016-296-E
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R 2017-107-E Health Freedom House Recovery - Navigator Agreement Amendment to 2016-296-E
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Last modified
6/8/2018 11:08:50 AM
Creation date
3/14/2017 3:52:03 PM
Metadata
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Template:
Contract
Date
1/1/2017
Contract Starting Date
5/1/2016
Contract Document Type
Contract Amendment
Amount
$9,701.00
Document Relationships
2017-107-E Health - Freedom House Recovery - Navigator Agreement Amendment to 2016-296-E
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Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2010's\2017
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DocuSign Envelope ID:84E24AAE-8F4A-4C46-8D70-6B738C4BEF95 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Freedom House Party/Vendor Contact Person: Patricia Hussey Contact Phone: 919-942-8083 <br /> Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip: 27516 Department: HEALTH Amount: <br /> $9,701 Purpose: Navigator Agreement Amendment to contract 2016-296-E Budget Code(s): 10412020-681000-71453 <br /> Vendor#34104 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ® Effective Date 1/1/17 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to to c°81f Yid content: <br /> tent: <br /> VW t�VUt 2/28/2017 <br /> Department Director's Signature F14Fczrnon�4nF... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency -riast,warroacystandards, specifications,and requirements: <br /> attSa. C,or .A,ltb 3/1/2017 <br /> Office of the Risk Management Officer B6F8-0Z5890498 Date: <br /> Financial Services <br /> This instrument has been pre-audited i gif-gifinditquired by the Local Government Budget and Fiscal Control Act: <br /> relotri � � 3/7/2017 <br /> Office of the Chief Financial Officer � Date: <br /> �6,4E5181ACC1109... <br /> Legal Services <br /> This agreement is approved as ta'1`redicf8igfg`'ahfd sufficiency: <br /> Office of the County Attorne y Date: 3/14/2017 <br /> —1035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov <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 /> Revised July 2015 <br />
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