HomeMy WebLinkAboutR 2018-163 Animal Services - ForensiVet mobile servicesDocuSign Envelope ID: COE7277A -DF52- 4508- 985D- E6BEFF540E10
ORANGE COUNTY— DEPARTMENT USE ONLY
Department
Party/Vendor Name: ForinsiVet Mobile Forensic and VeterinM Consulting, PLLC (Clarissa Noureddine, DVM)
Party/Vendor Contact Person: Clarissa Noureddine, DVM Contact Phone: Party /Vendor Address: PO Box
250 City Oak Ridge State: NC Zip: 27310 Department: Animal Services Amount: $2,500 Purpose: Veterinary
Services Budget Code(s): 10215020 629003 Vendor # (N /A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
7/1/17 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to teal,,, "I IF °n A ^ ^ntent:
g 1�1� DocuSigned by:
Department Director's Signature7D� duabia
C9B58115B7DD482...
Information Technologies
Date:
5/11/2018
(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer
Risk Management
Date:
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
DocuSigned by:
C17MCF9176800498. usa �l b 5/11/2018
Office of the Risk Management Office Data: .
Financial Services
This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control
Act:
DocuSigned by:
Office of the Chief Financial Office lI A&.
7NE5181ACC1409...
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by: f
Office of the County Attorne �Ut.UZ A.A.lrll, 'l bS(h
079A4D525COF4FB...
Clerk to the Board
5/14/2018
Date:
Date: 5/14/2018
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion @ singersail @oran�ecaunt`rnc.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date: