R 2017-345-E Health - El Futuro, Inc. for outpatient mental health, substance abuse treatment services

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DocuSign Envelope ID:78BE6605-1 CDA-4976-978A-2870E79AD11 E 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: $52,250 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 7-1-17 Approved by Board Yes No ❑ Agenda Date: 6/20/17 This agreement is approved as to to caf u ' nm fbt d• 'co�,tent: Vat (�t (I�t 7/26/2017 Department Director's Signature 5145A2CD945C40F... 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 sufficient 11481tig 'standards,specifications, and requirements: MSA. rbvvutl6 7/26/2017 Office of the Risk Management Officer 7FDCF9176800498... Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: 6j a7, A.446,. 7/26/2017 Office of the Chief Financial Officer 7 0e Date: Legal Services This agreement is approved as to e :7„i`1'?Indd"lY�d'-��sufficiency: A. r” 'tL SGb 7/26/2017 Office of the County Attorney 0,�A48�2 cO5 FB... Date: 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 2/17 8