HomeMy WebLinkAboutR 2019-073 Human Rights Relations - Carolina Veterinarian Behavior Clinic DocuSign Envelope ID:AFDEA346-5B2C-4141-8100-A2E551BE280D
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Carolina Veterinary Behavior Clinic Party/Vendor Contact Person: Dr. Jillian M. Orlando
Contact Phone: 919-791-9058 Party/Vendor Address: 409 Vick Avenue City Raleigh State: NC Zip: 27612
Department: HR&R Amount: $690.00 Purpose: To provide an evaluation of"Knight" (A191775), a black and white
male pitbull currently in the custody of Orange County Animal Services. Budget Code(s): 30460020-790009-71300
Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)
New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date:
January 16,2019 to March 15,2019
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
DocuSigned by:
2/12/2019
Department Director's Signature Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that was
addressed:
Information Technologies
(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 Date:
Risk Management
This agreement is approved for sufficiency of i ;5ki6tards, specifications,and requirements:
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Office of the Risk Management Officer Q�Sa Date:2/12/2019
Financial Services
This instrument has been pre-audited in the ma �Wivadjby the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date: 2/12/2019
Legal Services
This agreement is approved as to legal for bbg1� Wiwpy:
Office of the County Attorney al�tL, A ARIL '[M6b Date:2/12/2019
079A4D525COF4FB...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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:
Revised 12/18 4