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DocuSign Envelope ID:C460A031-FA9D-4EDC-A7A3-BBFA1936416D <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: SNAP NC Party/Vendor Contact Person: Laureen Bartfield Contact Phone: 919-291-0046 Party/Vendor <br /> Address: P.O. Box 278 City New Hill State: NC Zip: 27652 Department: Animal Services Amount: Up to $10,000(within <br /> managing our budget) Purpose: Provide Spay and Neuter to Shelter Animals Budget Code(s): 10215020 629010 Vendor# <br /> 61909 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal❑ <br /> Amendment ® Effective Date 01/10/2020 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature��d� �L"' 4 Date: <br /> 2/21/2020 <br /> L96591150'R DA32... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> e_by: <br /> QUs,%[�, vh 2/22/2020 <br /> Office of Risk Management[, Date: <br /> rccra,+c�caas... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> -� 2/24/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Qti� Gsce 2/24/2020 <br /> Office of the County Attorney[ Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised January 2020 <br />