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DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Freedom House Recovery Center, Inc. Party/Vendor Contact Person: Patricia E. Hussey <br /> Contact Phone: 919-942-2803 Party/Vendor Address: 104 New Stateside Drive City Chapel Hill State: NC Zip: <br /> 27516 Department: Finance & Administrative Services Amount: 36000 Purpose: FY 2017-18 Outside Agency <br /> Performance Agreement Budget Code(s): 10495050710037 Vendor# 800030 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date <br /> 7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017 <br /> This agreement is approved as to technical orb° ! `eti$lent: <br /> (710.../6A 0 d 8/31/2017 <br /> Department Director's Signature 7f4R1ACC1409 Date: <br /> Information Technologies <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 ins ; 4atipsh.is,,Lspecifications,and requirements: <br /> Q�dso. C6v,u i' 0 8/31/2017 <br /> Office of the Risk Management Officer ZEn('FQVRRno4g8 Date: <br /> Financial Services <br /> This instrument has been pre-audited in the °?et iR by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � � Date: 8/31/2017 <br /> 7 D4€54-84-AGG140 9... <br /> Legal Services <br /> D uSi ned b <br /> This agreement is approved as to legal form d uTc?e}c� ,,:',� <br /> ate' Marv.`L 1-MO 9/5/2017 <br /> Office of the County Attorney 079A4D525c0F4FB_. Date: <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 /> (Freedom House Recovery Center,Inc.) <br /> Orange County Outside Agency Performance Agreement Page 7 of 10 <br /> Rev. 7/17 <br />