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DocuSign Envelope ID: 1D078E61-3408-4B43-8758-39AO9lBlBE00 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: New Destinations, Inc. Party/Vendor Contact Person: Larry Lackey Contact Phone: 919-414- <br /> 2860 Party/Vendor Address: 5720 Turner Store Ln. City Ralei State:NC Zip:27603 Department: Social Services <br /> Amount: $35,100 Purpose: Cardinal Innovations MOE Budget Code(s): 10420020-710050 Vendor#800744 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ NoM Contract Type: (Check one) New ❑ Renewal M <br /> Amendment ❑ Effective Date 7/1/2020 Approved by Board YesM No❑ Agenda Date: 6/16/2020 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> FN" cbsw, Date: 1/22/2021 <br /> Department Director's Signature <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <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 sufficient dja%av,%standards, specifications,and requirements: <br /> VI <br /> Office of the Risk Management Office Q�ISa Cb�nxjnR- b a Date:1/21/2021 <br /> Financial Services <br /> This instrument has been pre-audited ' mVAR%#"quired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 06. Date:1/22/2021 <br /> Legal Services <br /> This agreement is approved as t cficxd sufficiency: <br /> Office of the County Attorney -'F"-""�'� _Date: 112512021 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 /> (aAgencys Name) <br /> Orange County Cardinal Managed Care Fund Performance Agreement Page 7 of 9 <br /> Rev. 112021 <br />