R 2017-348-E CJRD - Freedom House Recovery Center for substance abuse education

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DocuSign Envelope ID: B02A2B92-39F5-4594-9D3B-CB44B8448954 ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY Department Party/Vendor Name: Freedom House Recovery Center Party/Vendor Contact Person: Trish Hussey Contact Phone: 919-942-2803 Party/Vendor Address: 104 Stateside Drive City Chapel Hill State: NC Zip: 27516 Department: Criminal Justice Resource Department Amount: $120 per referral Purpose: Substance Use Education Budget Code(s): 10212020-720133 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ❑ Contract Type: (Check one)New❑ Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑Non Agenda Date: This agreement is approved as to technical form and content: ---DocuSigned by: Department Director's Signature bail& FU,tJA ,t-fit, Date: `--27D78E8EFC51493... 1/2 1/2017 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 of insurance standards, specifications,and requirements: DocuSigned by: Office of Risk Management ((USX (OVIA,d & Date: �---7FDCF9176800498... 7/27/2017 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 rq,ovt ` rudia°'1. Date: 7D4E5181ACC1409... 7/27/2017 Legal Services This agreement is approved as to legal form and sufficienevusigned by: Office of the County Attorney itvA4t,S Date: '-328DC480549A4F5... 7/27/2017 Clerk to the Board Received for record retention: Office of the Clerk to the Board Date: Revised 6/16