HomeMy WebLinkAboutR 2014-387 AS - Claudia Sheppard, D.V.M., MS, to perform in-house pay/neuter surgeries, consultulation services 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 reV4eiop cess prior to being routed for signature.
Department
Party/Vendor Name: Claudia Sheppard, D.V.M, MS, Veterinarian. Party/Vendor Contact Person: Claudia Sheppard. Contact Phone:
919-933-0713. Party/Vendor Address: 101 Autumn Lane. City Chapel Hill. State: NC Zip: 27516 Department: Animal Services
Amount: not to exceed $27,500 ($42/hr) and up to $800 for expenses Purpose: Perform in house spay/neuter surgeries and consulting
veterinarian services Budget Code(s): 10215020 629010 Vendor# 52719 (N/A if new vendor) Vendor is a BOCC consultant? Yes
❑Noo Contract Type:(Check one)New❑ Renewal Z Amendment ❑ Effective Date 7/1/2014.
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❑ NoZ. Bid/RFP number This contract has been reviewed and approved by the Department
Director as to technical content: VIj
11
Department Director's Signature: k w I &
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 Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No In uMace Required []. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shol <rtMt Ps TPTV
by the Risk Manager: t's'P7
2 5 2014]
Risk Manager's Signature: Date:
JUL 2 2014
14-1 , Cf F1 , f r
Financial Services Gy--------------
Is
This Contract is conditioned pon appropriation by the Board of Commissioners YesE]Nol?/ A budget amen men is
before approval YesE]NoM 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:Jyk -+4'K Date:
County Attorney
Approval by Board ❑ (Contracts over $25,000.00 or any BOCC consultant contract). Approval by Manager ❑ (All contracts
$25,000.00 or less with the exceptio, of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency:
Attorney's Signature Date: W
Manager
This contract has been reviewed and is approved by the County Manager Yes 'NoE3.
This contract has been reviewed and is to_be submitted for BOCC consideration Yes❑No❑
Manager's Signature: —Date.
t
Clerk to the Board
Approved by Board Yes❑No❑ Agenda Date:
Clerk's Signature: Date: