HomeMy WebLinkAboutR 2013-126 Animal Services - SNAPNC for spay/neuter services $20 plus per animal 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: SNAPNC. Party/Vendor Contact Person: Laureen Bartfiield. Contact Phone: 919-291-0046. Party/Vendor
Address:PO Box 278. City New Hill. State:NC Zip:27652 Department: Animal Services Amount:As per attached fee schedule$50-
$120 plus per animal depending on additional fees on schedule Purpose: Provide low cost spay/neuter services for low income Orange
County residents Budget Code(s): 38215020 630000 Vendor#TBD (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No
® Contract Type:(Check one)New❑ Renewal❑ Amendment ® Effective Date 4/26/12.
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 YesQ No®. Bid/RFP number This contract has been reviewed and approved by the Department
Director as to technical content: t
Department Director's Signature: 1 - Date: vx4 )3
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 Signature: Date:
Risk M na ement
Include the following coverages: 19CGL; Auto; ❑ WC; [4 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
by the Risk Manager: �4 1
Risk Manager's Signature: (� 1� Date:
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑NoQ A budget amendment is necessary
before approval YesQ No[1�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: u4 Jilt'_ Date: l 3
County Attorney
Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager 16 (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: j 3
County Manager
This contract has been reviewed and is approved by the County yanager YesE , 46❑.
This contract has been reviewed and is to be su tted f r C co 1 ration Yes0No�
ers Si g /
Manager's nature: Date:
g
Clerk to the Board
Approved by Board YesQ No❑ Agenda Date:
Clerk's Signature: Date: