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DocuSign Envelope ID:4990EA2C-8AA3-4013-9AC4-2lD01E1559BF <br /> GRANGE COUNTY--DEPARTMENT USE ONLY <br /> PartyNendor Name: Renee Carter,DVM Party/Vendor Contact Person: Renee Carter, AVM Contact Phone:775- <br /> 224-7622 PartyNendor Address: 2808 Becketts Ridge Drive City Hillsborough State: NC Zip: 27278 <br /> Department: Animal Services Amount: 23,000 {total amount for ail 3 vets not to exceed 50,150_for combined <br /> budget codes for the FY Purpose: Veterinary Services Budget Code(s): 10215020 629010 and 629004 Vendor# <br /> 65471 (NIA if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ <br /> Renewal® Amendment ❑ Effective Date 07/01/19 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> Do Sign d by: <br /> 6 AcA <br /> Department Director's Signatur y#6 hate: 6/29/2019 <br /> Ise=DDaaz. <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 <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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 /> Do S"g ed by. <br /> Office of the Risk Management Officesa � d Date: 6/29/2019 <br /> L7FDGF3170,3QD40a. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> S"g d by: <br /> �, � <br /> Office ofEelIAEfl�,1_0r the Chief Financial Officer "cf Date: 6/29/2019 <br /> aoo <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o wisivnca on <br /> vuw iltart, 50 <br /> Office of the County Attorne yi [' _ Date:7/1/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoil@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 /> 7 <br /> Rev. 6119 <br />