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Rev 06/25 <br /> <br />Party/Vendor Name: Town of Chapel Hill Party/Vendor Contact Person: Chief Chris Blue Contact Phone: (919) 968- <br />2760 Party/Vendor Address: 828 MLK Jr. Blvd. City: Chapel Hill State: NC Zip: 27514 Department: Animal Services <br />Amount: $171,868.00 Purpose: Animal Control Services Budget Code(s): 10215305-489951 Vendor #: 64 (N/A if new <br />vendor) Vendor is BOCC consultant? Yes No Contract Type (check one): New Renewal Amendment <br />Effective Date: 07/01/2025 Approved by Board: Yes No Agenda Date: _____________________ <br /> <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 /> <br /> <br />Department Director’s Signature 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 <br />that was addressed: <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer Date: <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer Date: <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer Date: <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney Date: <br /> <br /> <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 /> <br /> <br /> <br />15