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DocuSign Envelope ID: C3C9F04F- 5F60- 45DB- 9D9D- ABDCD1AD4F94 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: El Futuro, Inc. Party/Vendor Contact Person: Kerry Brock Contact Phone: 919 - 688 -7101 <br />x632 Party/Vendor Address: 136 E. Chapel Hill Street City Durham State: NC Zip: 27701 Department: Health <br />Amount: $53,375 Purpose: Outpatient mental health and substance abuse treatment services Budget Code(s): <br />10414020 - 630000 Vendor # 57915 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br />Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 7 -1 -18 Approved by Board Yes® No <br />❑ Agenda Date: 6 -19 -18 <br />This agreement is approved as to terftrfieffKWr1Aftd content: <br />SI 8/22/2018 <br />Department Director's Signature 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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficienc dremse eystandards, specifications, and requirements: <br />� <br />tSa C,bV1n,t,{f0 <br />Office of the Risk Management Officer Q Date: 8/23/2018 <br />Financial Services <br />This instrument has been pre- audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: DocuSigned by: <br />Office of the Chief Financial Officer l'q-,!�a �� Date: 8/23/2018 <br />Legal Services <br />This agreement is approved as t e YVM%d sufficiency: <br />1' kMt, Tw6 8/23/2018 <br />Office of the County Attorney m4nnnsgrupapt Date: <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin. erg sollgoran eg countync•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 <br />Revised 10/17 <br />8 <br />Date: <br />