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DocuSign Envelope ID: DA42AO9B-3AOD-4C9A-91F3-5A132AF24C9B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Pethealth INC Party/Vendor Contact Person: Guinn Mcmillion Contact Phone: 630-337-5373 <br /> Party/Vendor Address: 710 Dorval Drive, Suite 310 City Oakville State: Ontario Zip: L6K 3V7 Department: <br /> Animal Services Amount:$00 Purpose: To release data to the PetHealth Budget Code(s): n/a Vendor#n/a (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date 4/23/2020 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Docu5igned by: <br /> 166 6�.t�YW6 4/23/2020 <br /> Department Director's SignatureC9B58115B7DD482 Date: <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 /> DoCuSigned by: <br /> [SW i4� <br /> Office of the Chief Information Officer Date: 4/23/2020 <br /> C,16ADi E73AfMDF... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Officer[uso, ��b Date: 4/24/2020 <br /> 7FDCF3170,3p0406... <br /> Financial Services <br /> This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> D—Sig-d by: <br /> 2 4/24/2020 <br /> Office of the Chief Financial Officer Date: <br /> 7D4E51II1ACCi400... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ❑ Signedfi 6y: <br /> r, -b Q� <br /> Office of the County Attorney Date: 4/24/2020 <br /> 079A4D525MF4F3... <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 11/19 <br />