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ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br />Party/Vendor Name: Alliance Health Party/Vendor Contact Person: Bobbie Jo Hopf Contact Phone: 814-571-8702- Party/Vendor <br />Address: 5200 W. Paramount Parkway, Suite 200 City: Morrisville State: NC Zip: 27560 Department: CJRD/ES Amount: $809,000 <br />Purpose: Amendment to CARE Team Funding Agreement Code(s): Project Code: 71501 Vendor # N/A Vendor is a BOCC <br />consultant? Yes No Contract Type: (Check one)New Renewal XAmendment Effective Date <br />Approved by Board Yes Agenda Date: 6/18/24 <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 /> <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 N/A 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 N/A 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 />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 /> <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 /> <br />Orange County Outside Agency Performance Agreement Rev.06/23 <br />Docusign Envelope ID: 317F49C9-77A7-4EB0-8229-FB228B2131CC