Orange County NC Website
Browse       Search
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: Claudia Sheppard, D.V.M, MS, Veterinarian. Party/Vendor Contact Person: Claudia Sheppard. Contact Phone: <br /> 919-933-0713. Party/Vendor Address: 101 Autumn Lane. City Chapel Hill. State: NC Zip: 27516 Department: Animal Services <br /> Amount: not to exceed$24,500($40/hr)and up to$800 for expenses Purpose: Perform in house spay/neuter surgeries Budget Code(s): <br /> 10215020 629010 Vendor#52719 (N/A if new vendor) Vendor is a BOCC consultant? Yes r_1 Noo Contract Type: (Check one) <br /> New❑ Renewal Z Amendment ❑ Effective Date 7/1/2012. <br /> If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners Yes—No If submitted for bid <br /> were bids/RFPs received Yes❑ NoZ. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: Z4 4tv116,& 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 information technology specifications: <br /> IT Director's Signature: Date:_1 12- <br /> Risk M naaement <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance M. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: <br /> Risk Manager's Signature: Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nov A budget amendment is necessary <br /> before approval Yes❑NoM. 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 /> Financial Services Director's Signature: a A, A, - Date: <br /> County Attorney <br /> Approval by Board F-1 (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager.] (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 Manner <br /> This contract has been reviewed and is approved by the County Manager Ye12`&oF_1- <br /> This contract has been reviewed and is to be sub onsideration YesMN6r]. <br /> 411` <br /> Manager's Signature: 147 Date: L-� <br /> ":rk to the Board <br /> Approved by Board Ycs❑No❑ Agenda Date <br /> Clerk's Signature: Date: 1� <br />