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ORANGE COUNTY—INTERNAL USE ONLY <br /> <br />Finance Information <br />Vendor Name: Alliance Health Vendor Contact Person: Sean Schreiber Phone: 919-651-8973 Address: <br />5200 W Paramount Parkway, Suite 200 City Morrisville State: NC Zip: 27560 <br />Department: Emergency Services Amount: $201,484 Purpose: Post Overdose Response Team Funding Budget <br />Code(s): TBD Vendor # <br />Vendor Status with NCSOS: Vendor is a BOCC consultant: Yes No <br /> <br />Contract Details <br />Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) <br />Effective Date June 1, 2024 End Date June 30, 2025 Notice Date (Notice Purpose ) <br /> <br />Award <br /> Approved by Board (Agenda Date: 6-18-2024); Made or Administered by Alliance Health <br /> <br />Signature Authority <br />- BOCC Express Delegation (Agenda Date: 6-18-2024 ) <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 work <br />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: <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 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 />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Received for record retention: <br />Office of the Clerk to the Board Date: <br /> Revised 01/24 <br />1 <br />Docusign Envelope ID: B648A841-9C74-4DB1-87DA-A8851FFB1A84Docusign Envelope ID: 93CA2334-7774-43C5-B639-4A741A3162B9 <br />8/13/2024 <br />8/15/2024 <br />8/15/2024