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Docusign Envelope ID : 93CA2334-7774-43C5- B639-4A741A3162B9 <br /> ORANGE COUNTY-INTERNAL USE ONLY <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 /> 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 /> Award <br /> ® Approved by Board (Agenda Date : 6 - 18 -2024) ; ® Made or Administered by Alliance Health <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 $250, 000 <br /> ❑ Budget Policy Section XV (Capital Improvement Project : ) <br /> Biddin <br /> ❑ Informal Bidding ($ 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. Descripti of the emergency condition that was addressed . <br /> ' F ' ` S Date : 8 / 13 / 2024 <br /> Department Director s Signature <br /> Information Technolol4ies <br /> This agreement has been reviewed and is approved as to information technology content and specifications : <br /> Office of the Chief Information Officer Date : <br /> ❑ Inapplicable because no hardware/softvvare pttrchases or related services <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards , specifications , and requirements : <br /> Office of the Risk Management Officer Date : <br /> Financial Services <br /> This instrument has been pre-audited i wwwwdii5quired by the Local Government Budget and Fiscal Control Act. <br /> �i4vt� �ovl,�tfa� ovt, 8 / 15 / 2024 <br /> Office of the Chief Financial Officer Date . <br /> Legal Services <br /> This agreement is approved as t tL <br /> 1q� isufficiency . <br /> � u' t , 8 / 15 / 2024 <br /> Office of the County Attorney Date . <br /> Clerk to the Board <br /> All Docusign contracts must be copied to the Clerk upon completion : occlerlcdocs@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 />