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2023-279-E-Sheriff Office-Southern Health Partners-Medical Services for Inmates
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2023-279-E-Sheriff Office-Southern Health Partners-Medical Services for Inmates
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Last modified
6/29/2023 3:02:53 PM
Creation date
6/29/2023 3:02:46 PM
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Template:
Contract
Date
6/27/2023
Contract Starting Date
6/27/2023
Contract Ending Date
6/27/2023
Contract Document Type
Contract
Amount
$409,518.48
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Revised 07/20 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Southern Health Partners Party/Vendor Contact Person: Jeannette Rodriguez Contact Phone: <br />423-553-5635 ext. 922 Party/Vendor Address: 2030 Hamilton Place Blvd, Ste 140 City Chattanooga State: TN Zip: <br />37421 Department: BOCC Amount: $409,518.48 Purpose: Medical Services for Inmates Budget Code(s): <br />10715020-63000 Vendor # 59271 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract <br />Type: (Check one) New Renewal Amendment Effective Date July 1, 2023 Approved by Board Yes <br /> No Agenda Date: June 20, 2023 <br /> <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 /> <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <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 /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 39CA041E-C9A4-49D0-8261-188EE7582528 <br />6/27/2023 <br />6/27/2023 <br />6/28/2023 <br />6/29/2023
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