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coo? c2�q <br /> 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 /> Party/Vendor Name: Nicole Kushner, DVM (Veterianarian). Party/Vendor Contact Person: Nicole Kushner. Contact Phone: 919- <br /> 5938428. Party/Vendor Address: 120 Sierra Drive. City Chapel Hill. State:NC Zip: 27514 Department: Animal Services Amount: not <br /> to exceed $16,000 ($40/hr) and up to $800 for expenses Purpose: Perform in house spay/neuter surgeries Budget Code(s): 10215020 <br /> 629010 Vendor# 59458 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ <br /> Renewal® Amendment ❑ Effective Date 7/1/2011. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes No If submitted forbid <br /> were bids/RFPs received Yes❑ No®. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: �r't � J Date: to >�--- <br /> IT Director <br /> (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> Technology Director as to technical content and information chnology specifications: tt <br /> IT Director's Signature: Date: <br /> Risk Management <br /> Include the following coverages: E] CGL; E] Auto ;Auto; WC; Professional; ❑ Property; E] OR No Insurance Required E]. Hold <br /> Contract pending receipt of Certificate of Insurance [V]' With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: /y} <br /> Risk Manager's Signature: <br /> �UnG�/ni Date: v(/$ 'Iy <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[ A budget amendment is necessary <br /> before approval Yes❑No[ If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> ijanner required by the Local Government B3k-�et and Fiscal Control Act: <br /> Services Director's Signature: Date: <br /> Financial Sery g <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manage (All contracts <br /> $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal <br /> forth and sufficiency: <br /> — Date: <br /> Attorney's Signature <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y.,�s�o❑. <br /> This contract has been reviewed and is to be submitted f i BOCC consideration Yes❑No,O' <br /> Manager's Signature: <br /> Date: <br /> Clerk to the Board <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> Date: <br /> Clerk's Signature: <br />