HomeMy WebLinkAbout2012-293 S Animal Services - AnimalKind Inc Spay/Neuter For Low Income Residents $30,000 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
Party/Vendor Name: AnimalKind, Inc. Party/Vendor Contact Person: Beth Livingstone. Contact Phone: 919-321-2723. Party/Vendor
Address:PO Box 12568. City Raleigh. State: NC Zip:27605 Department: Animal Services Amount:Not to exceed$30,000 and up to
$10,000.00 in matching funds Purpose: Provide a pet spay/neuter financial assistance program for low-income Orange County residents
Budget Code(s): 38215020 630000 Vendor# 58666 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract
Type:(Check one)New❑ Renewal® Amendment ® Effective Date 7/1112.
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes No If submitted forbid
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: e4�''Y(,, ,1 Date: "
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and
+information technology�specifications: /
IT Director's Signaturer «L- 9'"`""x"„4_ Date:�� � \
Risk Mana eg ment
Include the following coverages: iCGL; ❑ Auto; WC, ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance With incorporation of Insurance provisions as shown,this contract is approved
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by the Risk Manager: Oth?,Risk Manager's Signature: �L ✓. Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[N/ A budget amendment is necessary
before approval Yes❑No . 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:
1
Financial Services Director's Signature: V(/R,&' -,/�� '✓'r^'`- Date:
County Attorney
Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Managera-(All contracts
$25,000.00 or less with the exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: /-
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the Coun Manager Ye�o❑.
This contract has been reviewed and is to be s itte for CC consideration Yes❑NoEl-�
Manager's Signature: Date: - �
Clerk to the Board
Approved by Board Yes❑No❑ Agenda Date:
Clerk's Signature: Date: