HomeMy WebLinkAboutR 2013-196 Animal Services - Town of Chapel Hill For Animal Protective Services and Emergency After Hous and License Fees Service RANGE 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: Town of Chapel Hill Party/Vendor Contact Person: Chris Blue Contact Phone•919-968- 0 Party endor
Address:828 MLK Jr Blvd City Chapel Hill State:NC Zip:27514 Department: al Se oun 81 .0
Provide public information,receive and rehabiliate wildlife,orphan care to wildlife, ose:0 Vendor
na (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type:(Ch training e)New Renewal® Amendrn Amendment
❑ Effective Date 7!1!13 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:
Dtpj%ot Director's Signature: Date:
ff Director
(Applicable only to hardwarelsoftware 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 Management
Include the following coverages: ['CGL; 0 Auto; 0 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
by the Risk Manager:
A f
Risk Manager's Signature: " Date: 7/t
7-.QL=. tolz8
Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑Nol/ A budget amendment is necessary
before approval Yes❑NoV. 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 Contr 1 Act:
Financial Services Director's Signature: LA Lt_-C-- �"'`""` Date:
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 (All other contracts). 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 County Manager Yesf ,o❑-
This contract has been reviewed and is to be submitted for BOCC 7 ideration Yes❑No� "��'
t �j
Manager's Signature: Date: './
%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