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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: SNAPNC. Party/Vendor Contact Person: Laureen Bartfiield. Contact Phone: 919-291-0046. Party/Vendor <br /> Address:PO Box 278. City New Hill. State:NC Zip:27652 Department: Animal Services Amount:As per attached fee schedule$50- <br /> $120 plus per animal depending on additional fees on schedule Purpose: Provide low cost spay/neuter services for low income Orange <br /> County residents Budget Code(s): 38215020 630000 Vendor#TBD (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date 4/26/12. <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 YesQ No®. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: t <br /> Department Director's Signature: 1 - Date: vx4 )3 <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: 19CGL; Auto; ❑ WC; [4 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: �4 1 <br /> Risk Manager's Signature: (� 1� Date: <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoQ A budget amendment is necessary <br /> before approval YesQ No[1�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: u4 Jilt'_ Date: l 3 <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager 16 (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: j 3 <br /> County Manager <br /> This contract has been reviewed and is approved by the County yanager YesE , 46❑. <br /> This contract has been reviewed and is to be su tted f r C co 1 ration Yes0No� <br /> ers Si g / <br /> Manager's nature: Date: <br /> g <br /> Clerk to the Board <br /> Approved by Board YesQ No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />