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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: Wendy Royce, Pet Overpopulation, Veterinarian. Party/Vendor Contact Person: Wendy Royce. Contact Phone: <br /> 919-357-3282. Party/Vendor Address: 1239 Watson Rd. City Chapel Hill. State: NC Zip: 27516 Department: Animal Services <br /> Amount: $63 per surgery and additional fees may apply$5-$20 per animal based on attached fee schedule Purpose: To control the pet <br /> population by performing spay/neuter surgeries for low-cost spay and neuter to the general public through POP-NC and special events. <br /> Budget Code(s): 38215020 629012 Vendor# 53253 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> Type:(Check one)New❑ Renewal® Amendment F-1 Effective Date 7/1/2012. ❑ No® Contract <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 Yesn 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: 2 1 MA Date:­ 6 �--- <br /> ff Dwdo r <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 technology specifications: +� <br /> IT Director's Signature: Date: .C..-.-. <br /> Risk Management <br /> Include the following coverages: aCGL;JZ Auto; Ef WC; Q Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance Eg/ With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: �/t,u�"�"' �• Jj Date: 7/111 <br /> Financial Services <br /> This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑Noy A budget amendment is necessary <br /> before approval Yes[]No[+]t. 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: f <br /> Financial Services Director's Signature: UG + "J. Au­ Date: 1 <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager J4 (All contracts <br /> $25,000.00 or less with the exc ' n 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: b IL4 �--. <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yes lNlo❑. <br /> This contract has been reviewed and is to be submitted for BOCC consideration Yes❑NQja- <br /> G , <br /> Manager's Signature: Date: <br /> rk to the Board <br /> Approved by Board Yes❑Non Agenda Date: <br /> Clerk's Signature: Date: <br />