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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 reV4eiop cess prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Claudia Sheppard, D.V.M, MS, Veterinarian. Party/Vendor Contact Person: Claudia Sheppard. Contact Phone: <br /> 919-933-0713. Party/Vendor Address: 101 Autumn Lane. City Chapel Hill. State: NC Zip: 27516 Department: Animal Services <br /> Amount: not to exceed $27,500 ($42/hr) and up to $800 for expenses Purpose: Perform in house spay/neuter surgeries and consulting <br /> veterinarian services Budget Code(s): 10215020 629010 Vendor# 52719 (N/A if new vendor) Vendor is a BOCC consultant? Yes <br /> ❑Noo Contract Type:(Check one)New❑ Renewal Z Amendment ❑ Effective Date 7/1/2014. <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❑ NoZ. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: VIj <br /> 11 <br /> Department Director's Signature: k w I & <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: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No In uMace Required []. Hold <br /> Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shol <rtMt Ps TPTV <br /> by the Risk Manager: t's'P7 <br /> 2 5 2014] <br /> Risk Manager's Signature: Date: <br /> JUL 2 2014 <br /> 14-1 , Cf F1 , f r <br /> Financial Services Gy-------------- <br /> Is <br /> This Contract is conditioned pon appropriation by the Board of Commissioners YesE]Nol?/ A budget amen men is <br /> before approval YesE]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 Act: <br /> Financial Services Director's Signature:Jyk -+4'K Date: <br /> County Attorney <br /> Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts <br /> $25,000.00 or less with the exceptio, 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: W <br /> Manager <br /> This contract has been reviewed and is approved by the County Manager Yes 'NoE3. <br /> This contract has been reviewed and is to_be submitted for BOCC consideration Yes❑No❑ <br /> Manager's Signature: —Date. <br /> t <br /> Clerk to the Board <br /> Approved by Board Yes❑No❑ Agenda Date: <br /> Clerk's Signature: Date: <br />