HomeMy WebLinkAbout2012-265 S Animal Services & Town of Chapel Hill for Animal Control, emergency after hours and animal tax licenses collection $85143 f ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
PartyNendor Name: Town of Chapel Hill PartyNendor Contact Person: Chief Blue Contact Phone:919-968-2760 PartyNendor
Address:405 Martin Luther King Jr.Blvd City Chapel Hill State:NC Zip:27516 Department:Police Amount: 85,143.00 Purpose:
Provide s animal control,emergency after hours and animal tax license collections Budget Code(s): 10215305 489951 Vendor#na
(N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Check one)New❑ Renewal® Amendment
❑ Effective Date 7/1/12 Approved by Board Yes❑No❑ Agenda Date: Title of Contract: Town of Chapel Hill Animal
Control,Protection Services,Emergency After Hour Animal Service and Collection of License Fees
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content: (�
Department Director's Signature: (`F Date: 06 Aa.
IT Director
(Applicable only to hardware/software purchases or rel d se/vices)This contract has been reviewed and approved by the Information
Technology Director as to technical content and informatio echnology specifications:
IT Director's Signature: Date:
Riskganagement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; Prdfessional; ❑ Property; ❑ OR No Insurance Required ( Hold
Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: �I."""! �� Date: ill Z6I (2
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Financial Services
This Contract is conditioned won appropriation by the Board of Commissioners Yes❑NoR( A budget amendment is necessary
before approval Yes❑No[v]. If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
/�
Financial Services Director's Signature: � ti✓ .• e Date: I I L
County Attorney
Approval by Board ❑ (Contracts over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manager,j(All other contracts). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
1 %,
Attorney's Signature � ; Date: 1. (iqI��
County Manager
This contract has been reviewed and is approved by the County Manager Yes o❑.
This contract has been reviewed and is to be submitted for :0 C con/d: ation Yes❑N<C1.-
Manager's Signature: , 0 Date: l
Clerk to the Board
Approved by BOCC on the day of ,20 . Submitted for Chair signature on the day of ,20
Clerk's Signature: Date:
Revised April 2010