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f ORANGE COUNTY-CONTRACT CONTROL SHEET <br /> Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk <br /> This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager <br /> determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for <br /> BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should <br /> be completed through the legal review process prior to being routed for signature. <br /> Department <br /> PartyNendor Name: Town of Chapel Hill PartyNendor Contact Person: Chief Blue Contact Phone:919-968-2760 PartyNendor <br /> Address:405 Martin Luther King Jr.Blvd City Chapel Hill State:NC Zip:27516 Department:Police Amount: 85,143.00 Purpose: <br /> Provide s animal control,emergency after hours and animal tax license collections Budget Code(s): 10215305 489951 Vendor#na <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment <br /> ❑ Effective Date 7/1/12 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Town of Chapel Hill Animal <br /> Control,Protection Services,Emergency After Hour Animal Service and Collection of License Fees <br /> If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were <br /> bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to <br /> technical content: (� <br /> Department Director's Signature: (`F Date: 06 Aa. <br /> IT Director <br /> (Applicable only to hardware/software purchases or rel d se/vices)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and informatio echnology specifications: <br /> IT Director's Signature: Date: <br /> Riskganagement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; Prdfessional; ❑ Property; ❑ OR No Insurance Required ( Hold <br /> Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: �I."""! �� Date: ill Z6I (2 <br /> tZ-tilt <br /> Financial Services <br /> This Contract is conditioned won appropriation by the Board of Commissioners Yes❑NoR( A budget amendment is necessary <br /> before approval Yes❑No[v]. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Local Government Budget and Fiscal Control Act: <br /> /� <br /> Financial Services Director's Signature: � ti✓ .• e Date: I I L <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager,j(All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> 1 %, <br /> Attorney's Signature � ; Date: 1. (iqI�� <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes o❑. <br /> This contract has been reviewed and is to be submitted for :0 C con/d: ation Yes❑N<C1.- <br /> Manager's Signature: , 0 Date: l <br /> Clerk to the Board <br /> Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20 <br /> Clerk's Signature: Date: <br /> Revised April 2010 <br />