R 2015-430-E AS - SNAP-NC to provide veterinary services for low cost spay/neuter services and spay day events

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DocuSign Envelope ID:43BD8856-9584-46F7-8CF9-72CE79DE43AD 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 approval. 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. Deuartment Party/Vendor Name: SNAP_NC. Party/Vendor Contact Person: Laureen Bartfield. Contact Phone: 919-. Party/Vendor Address: PO Box 278. City New Hill. State: NC Zip: 27652 Department: Animal Services Amount: $60-$185 per animal based on fee schedule Purpose: To provide veterinary services for low cost spay/neuter services and spay day events Budget Code(s): 38215020 629011 and 629012 Vendor 4 61909 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal® Amendment ❑ Effective Date 7/1/2015. If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes No If submitted forbid were bids/RFPs received Yes❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department Director as to technical content: DocuSigned by: Department Director's Signature Date: C9B58115B7D1482... IT Director (Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved 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 Insurance Required El. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: DocuSigned by: Q�iSa c6Vt�t,t�0 Risk Manager's Signature: Dc�9seoo Date: Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary before approval Yes❑ No❑. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the manner required by the Local Government �� cal Control Act: �A.U�, Financial Services Director's Signature: aFr?rEA84Z® Date: Countv Attornev Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts $25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: DocuSigned by: 1�- Attorney's Signature ao3scea3046A4A9.. Date: Countv Manager This contract has been reviewed and is approved by the County Manager Yes❑No❑. This contract has been r 76VUU-' ft�i %'to be submitted for BOCC consideration Yes❑No❑. �auhw�tV'S�Manager's Signature: 0637994B755E477.._ Date: Clerk to the Board Approved by Board Yes❑No❑ Agenda Date: Clerk's Signature: Date: