2025-401-E-Social Svc-Matala Psychological Services-psychological evaluations court testimony

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Docusign Envelope ID: lB3lC574-E288-4D4D-89A5-26EFE31EFCF7 ORANGE COUNTY—INTERNAL USE ONLY Finance Information Vendor Name: Matala Psychological Services,PLLC Vendor Contact Person: Kristy Matala Phone: 919-339- 1515 Address: 7633 Wilderness Rd City Raleigh State:NC Zip: 27613-1628 Department: Social Services Amount: 8,000 Purpose:psychological evaluations/court testimony Budget Code(s): 10400220-761005/10405020- 768000 Vendor#63745 Vendor Status with NCSOS: Current-Active Vendor is a BOCC consultant: ❑Yes ®No Contract Details Contract Type: ®New ❑Amendment(Original Contract: )(Most Recent Amendment ) Effective Date 7/l/25 End Date 6/30/26 Notice Date (Notice Purpose ) Award ❑Approved by Board(Agenda Date: ®Made or Administered by Lindsey Shewmaker Signature Authority - ❑ BOCC Express Delegation(Agenda Date: - Policy 9.4: ❑Under$5,000; ® Service Under$90,000; ❑ Construction Under$250,000 - ❑ Budget Policy Section XV(Capital Improvement Project: Bidding ❑ Informal Bidding($30k-$90k); ❑ Formal RFP($90k+); ®Other(<$30k); ❑Exception(#-—) Department Affirmation ® This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. ❑ This agreement is approved as to technical form and content. Services related to this agreement have already begun or been completed.Description of the ttc4l41"'emergency condition that was addressed: J44.4es, s'�ruv.wa�cvL 6/30/2025 Department Director's Signature Date: Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: ®Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insur ids,specifications,and requirements: ItiLt,(tSSa fit,f�t,�t,V 6/30/2025 Office of the Risk Management Officer RFdQdR1RRfiFfidF1 Date: Financial Services This instrument has been pre-audited in them cegWjieAJby the Local Government Budget and Fiscal Control Act: �ou� 4qAar.00, 6/30/2025 Office of the Chief Financial Officer 7D4E5181Acc1409... Date: Legal Services This agreement is approved as to legal f rm°Rfi fWftTMiency: Auro 1a, pitro- 7/1/2025 Office of the County Attorney 7R1FF9Qd 191QdRR Date: Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Revised 01/24 9