HomeMy WebLinkAboutR 2019-313 CJRD - Eyes, Ears, Nose and Paws, Inc facility dog DocuSign Envelope ID:CED5F1 EE-80DF-4BDA-AEBO-B7154A1 FO6F7
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Eves, Ears, Nose and Paws, Inc/Regina Miller — Lead Handler Party/Vendor Contact
Person: Maria IkenbeM/Regina Miller Contact Phone: 919-408-7292/919-644-4568 Party/Vendor Address: 209
Lloyd Street, Suite 320/106 E. Margaret Lane City Carrborro/Hillsborough State: NC Zip: 27510/27278
Department: CJRD Amount: $0 Purpose: Budget Code(s): Vendor # N/A (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑
Effective Date 5/29/19 Approved by Board Yes❑No® Agenda Date:
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:
Gocu Sig ned by:
Department Director's Signature CAW FWLA" Date:5/28/2019
Agreements for emergency services or repair are no =78ESEFC51493 . mation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed: N/A
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 insurance standards,specifications,and requirements:
DocuSigned by:
Office of the Risk Management Officer
SUS& CbV1n.A6 Date:6/3/2019
7FOCF9176800498.
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
Docu5igned by:
Office of the Chief Financial Officer
4 Date: 6/5/2019
—Ir7NE5181ACC1409.
Legal Services
This agreement is approved as to legal form and sufficiency:
UocuSigned by:
Office of the County Attorney , 66. 6�W�S Date: 6/5/2019
EAA3033EO8A84,i5..
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