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910 ^ �19 <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: Triangle Wildlife Rehabilitation Centerl Party/Vendor Contact Person: Pamela Bayne Contact Phone: 919-968- <br /> 2760 Party/Vendor Address: 1417 Seaton Drive City Durham State:NC Zip:27713 Department:Animal Services Amount:Up to <br /> $10,000.00 Purpose:Provide public information,receive and rehabiliate wildlife,orphan care to wildlife,and staff training Budget <br /> Code(s): Vendor#na (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 7/1/12 Approved by Board Yes❑No❑ Agenda0ate: Title of Contract: <br /> Town of Chapel Hill Animal 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: 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: <br /> Risk M na ement <br /> Include the following coverages: [JICGL; [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 /> by the Risk Manager: - <br /> Risk Manager's Signature: �• Date: to It Ill, <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[:]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 A t: <br /> Financial Services Director's Signature: l.C '``� /J• wc, Date: 4 i lL <br /> County Attorney <br /> Approval by Board ❑ (Contracts ver $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manag r (All other contracts). This contract has been reviewed and approved by the Attorney as to legal <br /> form and sufficiency: <br /> Attorney's Signature Date: 1 D 0 Z_ <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Y oEl <br /> This contract has been reviewed and is to be lm� C consideration tom <br /> Manager's Signature: Date: v �� <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 />