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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: ANIMAL KIND Party/Vendor Contact Person: BETH LIVINGSTON Contact Phone:919-321-2723 <br /> Party/Vendor Address:PO BOX 12568 City RALEIGH State:NC Zip:27605 Department:ANIMAL SERVICES Amount: <br /> MAXIMUM SUM$30,000 AND UP TO$10,000 MATCHING FUNDS Purpose: $20 SPAY/NEUTER FIX Budget Code(s):38215020 <br /> 630000 Vendor#58666 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ <br /> Renewal® Amendment ❑ Effective Date 7/1/2013 Approved by Board Yes❑No® Agenda Date:NA Title of Contract: <br /> ANIMAL SERVICES AGREEMENT BETWEEN ORANGE COUNTY AND ANIMAL KIND,INC FY 2011/2012 <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: OO <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 Management <br /> Include the following coverages: U/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: �} �1 <br /> Risk Manager's Signature: ^' Date: -( �� 3 <br /> _mac-- '7(8163 <br /> Financial Services <br /> This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[� A budget amendment is necessary <br /> before approval Yes[:]NoU.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 qnd Fiscal Control ct: <br /> Financial Services Director's Signature: ft&14� Date: ' /IT <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 Man r [X(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 Ye9allo❑. <br /> This contract has been reviewed and is to be submi for CC consideration Yes❑Noe�__ <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 />