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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: AnimalKind, Inc. Party/Vendor Contact Person: Beth Livingstone. Contact Phone: 919-321-2723. Party/Vendor <br /> Address:PO Box 12568. City Raleigh. State: NC Zip:27605 Department: Animal Services Amount:Not to exceed$30,000 and up to <br /> $10,000.00 in matching funds Purpose: Provide a pet spay/neuter financial assistance program for low-income Orange County residents <br /> Budget Code(s): 38215020 630000 Vendor# 58666 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type:(Check one)New❑ Renewal® Amendment ® Effective Date 7/1112. <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: e4�''Y(,, ,1 Date: " <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 <br /> +information technology�specifications: / <br /> IT Director's Signaturer «L- 9'"`""x"„4_ Date:�� � \ <br /> Risk Mana eg ment <br /> Include the following coverages: iCGL; ❑ Auto; WC, ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance With incorporation of Insurance provisions as shown,this contract is approved <br /> p g p <br /> by the Risk Manager: Oth?,Risk Manager's Signature: �L ✓. Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[N/ 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 /> manner required by the Local Government Budget and Fiscal Control Act: <br /> 1 <br /> Financial Services Director's Signature: V(/R,&' -,/�� '✓'r^'`- Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Managera-(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 /> form and sufficiency: /- <br /> Attorney's Signature Date: <br /> County Manager <br /> This contract has been reviewed and is approved by the Coun Manager Ye�o❑. <br /> This contract has been reviewed and is to be s itte for CC consideration Yes❑NoEl-� <br /> Manager's Signature: Date: - � <br /> Clerk to the Board <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />