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DocuSign Envelope ID: F5F7C40B-2B2B-4B38-AF66-907D8AF2244C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Claudia Sheppard, DVM Party/Vendor Contact Person: Claudia Sheppard Contact Phone: <br /> 919-933-0713 Party/Vendor Address: 101 Autumn Lane City Chapel Hill State: NC Zip: 27516 Department: <br /> Animal Services Amount: 900 Purpose: Provide Animal Cruelty Testimony Budget Code(s): 101215020 629004 <br /> Vendor#52716 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 09/01/2019 Approved by Board Yes❑No❑ Agenda <br /> 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 /> Docu5igned by: <br /> l <br /> 6 h046 9/3/2019 <br /> Department Director's Signature Date: <br /> c,B,,11 se7DD4sz_.. <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 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 insurance standards,specifications,and requirements: <br /> D1 11� 1,}e 9/4/2019 <br /> Office of the Risk Management Officer[ Hy 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 /> u sip M by <br /> Office of the Chief Financial Office �o Date:9/4/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency:1AOffice of the County AttorneyEDecu3lgne 31 <br /> „At-l�tariG �3scn r ^i Date:9/4/2019 <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 <br /> 8 <br />