Orange County NC Website
ORANGE COUNTY—CONTRACT CONTROL SHEET <br /> Routing rder: (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 ndor Name: Claudia Shep V.M, MS, Veterinarian. Party/Vendor Contact Person: Claudia Sheppard. Contact Phone: <br /> 919-933-0713. Party/Ven ddress: 10 Autumn Lane. City Chapel Hill. State: NC Zip: 27516 Department: ervices <br /> Amount: not to exc 26,500 ($42 and up to $800 for expenses Purpose: Perform in house spay/neuter surge ' s and�. Yes <br /> veterinarian servic e(s): 10215020 629010 Vendor# 52719 (N/A if new vendor) Vendor is a BOC <br /> ❑No® Contract Type:(Check one)New❑ Renewal❑ Amendment ❑ Effective Date 7/1/2013. <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 Yes❑ 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: eA �� Date: to 1„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: ❑ CGL; ❑ 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: 7b (3 <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No[>/ A budget amendment is necessary <br /> before approval Yes❑NoE� 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: '�'-' �' J Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager 6 (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 Manager <br /> This contract has been reviewed and is approved by the County Manager Y No❑. <br /> This contract has been reviewed and is to be submitted for B C consideration Yes❑No�' <br /> Manager's Signature: Date: r <br /> G �lerk to the Board <br /> Approved by Board Yes[]No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />