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DocuSign Envelope ID:AFDEA346-5B2C-4141-8100-A2E551BE280D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Carolina Veterinary Behavior Clinic Party/Vendor Contact Person: Dr. Jillian M. Orlando <br /> Contact Phone: 919-791-9058 Party/Vendor Address: 409 Vick Avenue City Raleigh State: NC Zip: 27612 <br /> Department: HR&R Amount: $690.00 Purpose: To provide an evaluation of"Knight" (A191775), a black and white <br /> male pitbull currently in the custody of Orange County Animal Services. Budget Code(s): 30460020-790009-71300 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br /> January 16,2019 to March 15,2019 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> 2/12/2019 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software 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 i ;5ki6tards, specifications,and requirements: <br /> rbvvulTb <br /> Office of the Risk Management Officer Q�Sa Date:2/12/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the ma �Wivadjby the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 2/12/2019 <br /> Legal Services <br /> This agreement is approved as to legal for bbg1� Wiwpy: <br /> Office of the County Attorney al�tL, A ARIL '[M6b Date:2/12/2019 <br /> 079A4D525COF4FB... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 /> Revised 12/18 4 <br />