Orange County NC Website
DocuSign Envelope ID:7D369AB4-7359-4B70-8917-A39568F53C73 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: SNAPNC Party/Vendor Contact Person: LAUREEN BARTFIELD Contact Phone: 919-783- <br /> 7627 Party/Vendor Address: PO BOX 278 City NEW HILL State: NC Zip: 27562 Department: ANIMAL <br /> SERVICES Amount: NOT TO EXCEED 19,750.00 Purpose: LOW COST SPAY/NEUTER SURGERIES Budget <br /> Code(s): 38215020 629011 AND 629012 Vendor # 61909 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> 7/1/16 Approved by Board Yes❑No❑ Agenda Date: <br /> DocuSigned by: <br /> This agreement is approved as to technical form and content: EtC9B58115B=482.Dep artment Director's Signature .. Date: <br /> Information Technologies <br /> (Applicable only to hardware/softivare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, Ni" yand requirements: <br /> aUSA, COVIn t{{b <br /> Office of the Risk Management Officer 7Fn,.Fqj76Fjno4qs Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer 1ACC14.9 Date: <br /> Legal Services <br /> This agreement is approved as to legal f r�4035CB8304CA4A9...'n S i��iency: <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(&orangecountync.gov <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 /> 9 <br /> Revised June 2016 <br />