Orange County NC Website
c2D � cl �. <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name : Town of Carrboro Police Department Party/Vendor Contact Person : Chief Walter Horton <br /> Contact Phone : 919 - 918 - 7397 Party/Vendor Address : 100 N Greensboro St City Carrboro State : NC Zip : 27510 <br /> Department : Animal Services Amount : 98 , 576 Purpose : Animal Control Services Budget Code ( s ) : 10215305 <br /> 489954 Vendor # 595 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No ® Contract Type : <br /> (Check one) New ❑ Renewal ® Amendment ❑ Effective Date 07/01 /2019 Approved by Board Yes [:] No <br /> ❑ 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 /> g <br /> DeP artment Director ' s Si nature � /� Date : f <br /> Agreements for emergency services or repair are not subject to the above affirmation . If services related to t <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 /> Office of the Risk Management Officer I �. Date : <br /> d <br /> Financial Services <br /> This instrument has been pre- audited in the in er re ired by the Local Government Budget and Fiscal Control <br /> Act : <br /> Office of the Chief Financial Officer . Date : <br /> Legal Services <br /> This agreement is approved as to legal form a sufficienc <br /> Office of the County Y Attorne Date : <br /> Clerk to the Board <br /> Received for record retention : <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion : smgersoll@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 /> Rev 5 / 19 <br />