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RANGE 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: Town of Chapel Hill Party/Vendor Contact Person: Chris Blue Contact Phone•919-968- 0 Party endor <br /> Address:828 MLK Jr Blvd City Chapel Hill State:NC Zip:27514 Department: al Se oun 81 .0 <br /> Provide public information,receive and rehabiliate wildlife,orphan care to wildlife, ose:0 Vendor <br /> na (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Ch training e)New Renewal® Amendrn Amendment <br /> ❑ Effective Date 7!1!13 Approved by Board Yes❑No❑ Agenda Date: Title of Contract:Town of Chapel Hill Animal <br /> 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 /> Dtpj%ot Director's Signature: Date: <br /> ff Director <br /> (Applicable only to hardwarelsoftware 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 Management <br /> Include the following coverages: ['CGL; 0 Auto; 0 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 /> A f <br /> Risk Manager's Signature: " Date: 7/t <br /> 7-.QL=. tolz8 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nol/ A budget amendment is necessary <br /> before approval Yes❑NoV. 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 Contr 1 Act: <br /> Financial Services Director's Signature: LA Lt_-C-- �"'`""` Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant <br /> contract). Approval by Manager (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: <br /> County Manager <br /> This contract has been reviewed and is approved by the County Manager Yesf ,o❑- <br /> This contract has been reviewed and is to be submitted for BOCC 7 ideration Yes❑No� "��' <br /> t �j <br /> Manager's Signature: Date: './ <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 />