HomeMy WebLinkAboutR 2014-412 AS - AnimalKind, Inc. for $20 Spay/Neuter Fix 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: ANIMAL KIND Party/Vendor Contact Person: HILARY GREEN Contact Phone: 919-321-2723 Party/Vendor
Address:PO BOX 12568 City RALEIGH State:NC Zip: 27605 Department:ANIMAL SERVICES Amount:MAXIMUM SUM
$35,000 Purpose: $20 SPAY/NEUTER FIX Budget Code(s):38215020 630000 Vendor#58666 (N/A if new vendor) Vendor is a
BOCC consultant? Yes❑No® Contract Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 7/1/2013
Approved by Board Yes❑No® Agenda Date:NA Title of Contract:ANIMAL SERVICES AGREEMENT BETWEEN
ORANGE COUNTY AND ANIMAL KIND,INC FY 2014/2015
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:
Department Director's Signature: Date: S
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 Insurance Required ❑. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as show
by the Risk Manager: D
Risk Manager's Signature: Z �1 _ Date: IZ&Se AUG - 1 2014
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Financial Services � -
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑No[ A bud Y
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:
Financial Services Director's Signature: � .� .// Date:
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County Attorney
Approval by Board ❑ (Contr, over $90,000.00 for goods or services, $250,000.00 for construction, or any BOCC consultant
contract). Approval by Manage (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 Yes No❑.
This contract has been reviewed and is to be submitted for BOCC consideration Yes❑No❑.
Manager's Signature: Date:
Clerk to the Board
Approved by BOCC on the_day of 20 itted for air signature on the day of ,20
Clerk's Signature: Date:
Revised April 2010