HomeMy WebLinkAboutR 2019-350 Animal Svc - Chelsea Landon veterinary services DocuSign Envelope ID:23AA9521-5A8A-4D16-9A81-7143D7D4F7C3
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Chelsea Dawn Landon DVM Party/Vendor Contact Person: Chelsea Dawn Landon, DVM
Contact Phone: 919-667-3229 PartyNendor Address: 3710 Cole Mill Road City Durham State: NC Zip: 27712
Department: Animal Services Amount: 999.99 Purpose: Veterinary Services Budget Code(s): 10215020 629003
Vendor 9 64867 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)
New ❑ Renewal ® Amendment ❑ Effective Date 07/01/2020 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:
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Department Director's Signature[6' 8 d Date:6/19/2019
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Agreements for emergency services or repau 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 hardwarelsofiware 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:
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Office of the Risk Management OfficeCD
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Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: [
Office of the Chief Financial Officer[ ` Date:6/21/2019
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Legal Services
This agreement is approved as to legal form and sufficiency:
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Office of the County Attorney Q""-ftayi(,Tbso Date:6/21/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.gov
orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Cleric to the Board Date:
Revised 12/18 4
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