HomeMy WebLinkAboutR 2016-677-E AS - CLAWS, Inc. for public information, receiving and rehab of wildlife DocuSign Envelope ID:F6D44040-F8B5-4CC2-8443-C34E90D3BF8C
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)1T, (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
7/1/16.
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❑ No❑. Bid/RFP number This contract has been reviewed and approved by the Department
Director as to technical Content: uSigned by:
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Department Director's Signature: ,7_,,,,Pate:
IT Director
(Applicable only to hardware/sofNware 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 Manap_ement
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; ❑ OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager: DocuSigned by:
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Risk Manager's Signature: PUS&
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Financial Services
This Contract is conditioned upon appropriation by the Board of Commissioners Yes❑No❑. A budget amendment is necessary
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: Dned by:
Financial Services Director's Signature: �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 exception of BOCC consultants). This contract has been reviewed and approved by the Attorney as to legal
form and sufficiency: DocuSigned by:
Attorney's Signature F _4— Date:
Countv Manager
This contract has been reviewed and is approved by the County Manager Yes F-1 No❑.
This contract has been reviewed and is to b fr4di e BOCC consideration Yes❑No❑.
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Manager's Signature: Date:
Clerk to the Board
Approved by Board Yes❑No❑ Agenda Date:
Clerk's Signature: Date: