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DocuSign Envelope ID:CE7A728C-3B49-40FA-BC72-CE7A2A13A793 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: SNAP-NC Party/Vendor Contact Person: Laureen Bartfield Contact Phone:919-291-0046 <br /> Party/Vendor Address: P.O. Box 278 City New Hill State: NC Zip: 27652 Department: Animal Services <br /> Amount: Up to $28,376.00 Purpose: Reduce Cost Spay and Neuter Services Budget Code(s): 38215020 <br /> 629011&629012& 629013&629014 Vendor#61909 (N/A if new vendor) Vendor is a BOCC consultant? <br /> Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 07/01/2019 <br /> 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 /> s,� M: <br /> Department Director's SignatureCH ` Date:7/11/2019 <br /> n:sa�nndnn <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: gg <br /> Risk Management i <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> ❑ 58 dhy <br /> Q�Sa fan 6 7/12/2019 <br /> Office of the Risk Management Officer[ ocu nc 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: <br /> ❑ se by: <br /> Office of the Chief Financial Officer "o`t A—/,., °` Date:7/12/2019 <br /> fM1=51R1A❑C11[F1 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ❑ se�.�a by <br /> E"kkm�, 7/12/2019 <br /> Office of the County AttorneyDate: <br /> [1]nAdnS+=C�FJFR <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 /> 9 <br /> Revised May 2019 <br />