HomeMy WebLinkAboutR 2019-386 Animal Svc - Claudia Sheppard DVM veterinary services DocuSign Envelope ID:72D276E7-8F57-4025-B4DE-37E18OCE2BOD
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Claudia Sheppard DVM Party/Vendor Contact Person: Claudia Sheppard Contact Phone:
919-933-0713 Party/Vendor Address: 101 Autumn Lane City Chapel Hill State: NC Zip: 27516 Department:
Animal Services Amount: up to$4L000 Purpose: Provide Vet Care Budget Code(s): 10215020 629004 10215020
629010 Vendor# 52719 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type:
(Check one)New ❑ Renewal ® Amendment ❑ Effective Date 07/01/2019 Approved by Board Yes❑No
❑ Agenda hate:
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:
❑ocuSigned by
Department Director's Signature[C'111��l Date:6/28/2019
Agreements for emergency services or rir'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 hardwarelsoftware 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 Mana ement
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
C�OuSig ned byOffice of the Risk Management Office ALL& bYtn,Ab 6/28/2019
7F❑CF61762QCd@9. Date: -
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
❑acuSig ned by:
Office of the Chief Financial Officer) 0"� Date: 6/30/2019
7P1 Ei18'ACC1�Ofl
Legal Services }}
This agreement is approved as to legal form and sufficiency:
❑ 5'g ed by:
Office of the County Attorney `fir ) b Date. 7/1/2019 ?
O'S.B.t❑52uL'hF4F6.. ---
i
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: snngersoll@orangecountyne.gov f
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
7 i
Rev. 6119
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