Orange County NC Website
DocuSign Envelope ID: 5DBF59D3-CC67-48AA-B89A-BF3885EOE012 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ANIMAL KIND, INC Party/Vendor Contact Person: MARTIN BANNING Contact Phone: <br /> Party/Vendor Address: PO Box 12568 City Raleigh State: NC Zip: 27610 Department: Animal Services Amount: Hourly <br /> rate change from $70-$90 per surgery Purpose: Spa/Neuter surgery for Qualified residents of Orange County Budget <br /> Code(s): 38215020 600000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract <br /> Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective Date 1/1/16 Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical form and content: DocuSlgned by: <br /> b6 ha"6 <br /> Department Director's Signature Ff B Date: <br /> BSSttS�-DB48` <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insuran ddat xvpecifications, and requirements: <br /> Q�Sa COV'ln,t,{�b <br /> Office of the Risk Management Officer Fesrsa���oaga Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer (� Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: [4�ocusigned by: <br /> Office of the County Attorney 1, Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL&oranaecountync.Qov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 3/16 <br />