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Revised 01/24 <br />9 <br />ORANGE COUNTY—INTERNAL USE ONLY <br />______________________________________________________________________________ <br />Finance Information <br />Vendor Name: Reintegration Support Network Vendor Contact Person: Jamie Jacobs Phone: 984-777-5282 <br />Address: 117 West Main Street City Carrboro State: NC Zip: 27510 Department: Health Amount: $20,000 <br />Purpose: Opioid prevention in youth Budget Code(s): 27411020-630000-92005 Vendor # 800062 <br />Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No <br /> <br />Contract Details <br />Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) <br />Effective Date 1-1-24 End Date 12-31-24 Notice Date (Notice Purpose ) <br /> <br />Award <br /> Approved by Board (Agenda Date: 12-12-23); Made or Administered by <br /> <br />Signature Authority <br />- BOCC Express Delegation (Agenda Date: ) <br />- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 <br />- Budget Policy Section XV (Capital Improvement Project: ) <br /> <br />Bidding <br /> Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) <br />Department Affirmation <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state <br />work on this project has not been initiated prior to execution of the agreement. <br /> This agreement is approved as to technical form and content. Services related to this agreement have already <br />begun or been completed. Description of the nature of the emergency condition that was addressed: These services <br />are already being delivered due to the nature of the service and not wanting to keep services from the population <br />while completing the contract. <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br />Information Technologies <br />This agreement has been reviewed and is approved as to information technology content and specifications: <br /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> Inapplicable because no hardware/software purchases or related services <br /> <br />Risk Management <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 />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br />All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov <br />DocuSign Envelope ID: 3ACB2BD5-B5DB-4475-96AC-9D0A6C22362D <br />5/3/2024 <br />5/6/2024 <br />5/7/2024 <br />5/7/2024