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1 Y Y <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name : Town of Cha el Hill Party/Vendor Contact Person : Chief of Police Chris Blue Contact Phone : <br /> 919 -96 &2760 Party/Vendor Address : 828 MLK Jr Blvd City Chapel Hill State : NC Zip : 27516 Department : <br /> Animal Services Amount : 112 , 275 Purpose : Animal Control Services Budget Code(s) : 10215305 489951 Vendor <br /> # 64 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type : (Check one) New ❑ <br /> Renewal ® Amendment ❑ Effective Date 07/01 /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 executi of t greement : <br /> Department Director ' s Signature Date : `Z <br /> Agreements for emergency services or repa' n ject to the above affirmation. If services related to this <br /> agreement have already begun or been co m et pl se 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 ,t Date : <br /> F ' 6 ncial 8ervices <br /> This instrument has been pre- audited in the man is equire b the Local Government Budget and Fis al Control Act : <br /> Office of the Chief Financial Officer l - Date : <br /> al Services <br /> i <br /> This agreement is approved as to legal form and sufficiency : <br /> Office of the County Attorney ' Date : i , I <br /> Clerk to the Board <br /> Received for record retention : <br /> All Docusign contracts must be copied to the Clerk upon completion : occlerkdocs@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 7/21 <br />