R 2014-491 AS - SNAP NC for low cost spay/neuter services $ Per Attached Fee Schedule

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ORANGE COUNTY-CONTRACT CONTROL SHEET Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC ipproval. Contracts for BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should be completed through the legal review process prior to being routed for signature. Department Party/Vendor Name: SNAP NC.. Party/Vendor Contact Person: Laureen Bartfield DVM. Contact Phone Party/Vendor Address: PO Box 278 . City New Hill. State: NC Zip: 27652 Department: Animal Services Amount: as per attached Fee Schedule Purpose: Low Cost Spay/Neuter Services Budget Code(s): 38215020 63000 Vendor#NA (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment ❑ Effective Date 7/1/14. If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes No--. If submitted for bid were bids/RFPs received Yes® No®. Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: f�i�' Date: j4 IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approv,-d by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Risk Management Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insuraice Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as show by the Risk Manager: D Risk Manager's Signature: 40, 0 Date: 71171/ � S E P 152014 x(15 Financial Services This Contract is conditioned Oon appropriation by the Board of Commissioners Yes❑Nom.,** A bud y before approval Yes❑No If budget amendment is necessary,please attach to this form. This instrument ha: been pre-audited in the manner required by the Local Government BudgSt and Fiscal Control Act: Financial Services Director's Signature: C ,� 1, A— Date: County Attorney Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager 0 (All contracts $25,000.00 or less with the exception f BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: ��]] Attorney's Signature Date: q T_ I County Manager This contract has been reviewed and is approved by the County Manager Yes No❑. This contract has been reviewed and is tjD be submitted for BOCC consideration Yes❑No❑. Manager's Signature: Date: Clerk to the Board Approved by Board Yes❑No❑ Agenda Date: Clerk's Signature: Date: