Orange County NC Website
DocuSign Envelope ID: DB3A2F41-9D57-4E31-9789-D6A68852DCB9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Animals Be Gone, LLC Party/Vendor Contact Person: Tim Walker Contact Phone: 919-245- <br /> 3300 PartyNendor Address: 4104 Hawkins Road City Hurdle Mills State: NC Zip: 27541 Department: DEAPR <br /> Amount: $975.00 Purpose: Beaver Trapping Budget Code(s): 6137003588000020039 Vendor# 57000 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 3/11/2019 Approved by Board Yes❑No® Agenda Date: <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 /> Department Director's Signatu Cl)aV4 gawa Date:3/12/2019 <br /> Agreements for emergency servic_ .._aject 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_Tech_nol_ozim <br /> (Applicable only to hardwarelsaftware 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,specifications,and requirements: <br /> Docusiggned by: <br /> Office of the Risk Management Of'fi aUSA cbm&6 Date: 3/12/2019 rDs <br /> 7FDCF01 76800498. �+ <br /> Financial Services V <br /> This instrument has been pre-audited i-`'-bocusigned av: — '-the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office 011../ Date: 3/13/2019 <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as tr DocuSigned by J Iciency: DocuSigned by: <br /> Office of the County Attorney DEAA=ED8MQ405.. <br /> b6, K6 turfs Dat �b�E1+A=ED8A8405.. <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov <br /> 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 />