Orange County NC Website
ORANGE COUNTY-CONTRACT CONTROL SHEET ('(,1 <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 review process prior to being routed for signature. <br /> Department <br /> Party/Vendor Name: Wendy Royce, Pet Overpopulation, Veterinarian. Party/Vendor Contact Person: Wendy Royce. Contact Phone: <br /> 919-357-3282. Party/Vendor Address: 1012 King Circle. City Chapel Hill. State: NC Zip: 27516 Department: Animal Services <br /> Amount: $63 per surgery and additional fees may apply$10-$20 per animal based on attached fee schedule Purpose:Perform spay/neuter <br /> surgeries Budget Code(s): 38215020 629012 Vendor# 53253 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 11/10/2009. <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[:] No❑. Bid/RFP number This contract has been reviewed and approved by the Department <br /> Director as to technical content: <br /> Department Director's Signature: Date: <br /> IT Director <br /> X(App able only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information <br /> logy Director as to technical content and information technology specifications: <br /> ctor's Signature: Date: <br /> Risk Management <br /> Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold <br /> Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved <br /> by the Risk Manager: 614 e v <br /> Risk Manager's Signature: Date: 2 L9 /o <br /> Financial Services <br /> This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑N010. A budget amendment is necessary <br /> before approval Yes❑No . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the <br /> manner required by the Loca Government Budg t and Fiscal Control Act: <br /> Financial Services Director's Signature: Date: Z Q to <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 ex e do 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: 2' 15 L0 <br /> County Manager <br /> This contract has been reviewed and is approved by the County Mana er Ye No❑. <br /> This contract has been reviewed and is to be submitted for BOC nsideration Yes o❑. <br /> Manager's Signature: Date: 1 ` <br /> Cle to the Board <br /> XCIerSignature:y Board Yes❑No❑ Agenda Date: <br /> Date: <br />