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DocuSign Envelope ID:3F76D846-3481-4010-80C0-2C96A20C4A3C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: JVR Shelter Strategies Party/Vendor Contact Person: Jvothi Robertson Contact Phone: 605- <br /> 274-7082 Party/Vendor Address: 1025 Alameda de las Pulgas No.333 City Belmont State: CA Zip: 94002 <br /> Department: Animal Services Amount: $8,000 Purpose: Veterinary Health Consulting Budget Code(s): 10215020 <br /> 630000 Vendor# 66005 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 03/23/2021 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 /> DocuSigned by: <br /> AA12 <br /> Department Director's Signature <br /> tt&i , VJ S Date: 4/8/2021 <br /> E2A83680341i <br /> Agreements for emergency services or repair are riot 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 /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Usa cmuffe <br /> gg dby: 4/8/2021 <br /> Q <br /> Office of the Risk Management Officer 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 /> ° Sig—by: <br /> Office of the Chief Financial Officer �"""�"` Date: 4/8/2021 <br /> �UdESIbfA _. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> BB Id by <br /> 4/9/2021 <br /> Office of the County Attorney akw,nA wit,1�w Date: <br /> �O�BA4°525CBF4FB... <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 /> 9 <br />