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DocuSign Envelope ID : OCOB9F3D -55C24OA0-8AE6-844A8169688D <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Party/Vendor Name : Alliance Health Party/Vendor Contact Person : Kelly Goodfellow Contact Phone : <br /> Party/Vendor Address : 5200 West Paramount Parkway, Suite 200 City Morrisville State : NC Zip : 27560 <br /> Department : County County Manager Amount : $ 1 , 164 , 848 . 00 Purpose : Contract M gmt of MOE/OA Funds <br /> Budget Code(s) : Multiple Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ❑ <br /> Contract Type : (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 7/ 1 /22 Approved by Board Yes <br /> ® No ❑ Agenda Date : 6/21 /22 --- For Section XIV . c . contracts only, Approved by Board in Current FY Budget <br /> Yes ❑ No ❑ <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 /> ,00sssssssssDocuSigned by: <br /> Department Director ' s Signature raViS ")Ae Date : 7 / 11 / 2022 <br /> Agreements for emergency services or repair ar 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 sufficiency of insurance standards , specifications , and requirements : <br /> DocuSigned"by:" <br /> Office of the Risk Management Officer. F&A, , 6 Date : 8 / 17 / 2022 <br /> l(,b� vt. <br /> 7FDCF9176800498. . . <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer ate : 8 / 18 / 2022 <br /> k%smowL7D4E5181ACC1409... <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency , <br /> DocuSigned by: <br /> Office of the County Attorney JbLW r6v Date : 8 / 19 / 2022 <br /> FJJM3D33EMA8465. 11 <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 /> Revised 06 / 21 <br />