HomeMy WebLinkAboutR 2014-420 AS - CLAWS, Inc. for public information, receiving and rehabilitation of wildlife 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: CLAWS, Inc.. Party/Vendor Contact Person: Kindra Mammone. Contact Phone: 919-619-0776, Party/Vendor
Address: 1516 Jo Mac Rd. . City Chapel Hill. State: NC Zip: 27516 Department: Animal Services Amount: upto $10,000 Purpose:
Public Information,Receiving and Rehabilitation of Wildlife Budget Code(s): 10215320 630000 Vendor#NA (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date
7/1/14.
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 G
Director as to technical content: ""� �
Department Director's Signature: 6)ae ca, NCPAO Date: V /
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 Manazement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shownEs Droved
by the Risk Manager:Risk Manager's Signature: x ) jC�. Date:Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑Nom/ A budge
before approval Yes❑No(�If budget amendment is necessary,Tease attach to this form. This instrument h
manner required by the Local Government Budget and Fiscal Con '01 Act•
Financial Services Director's Signature: /✓w Date:
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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 excep of BOCC consultants). This contract has been reviewed and ap roved 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 Yes o❑.
This contract has been reviewed and is to be sub 'tt ed for BOCC consideration Yes❑No❑.
Manager's Signature: Date: < ��
Clerk to he Board
Approved by Board Yes❑No❑ Agenda
Clerk's Signature: A Date: `�