HomeMy WebLinkAboutR 2019-467 Animal Svc - Mikaela Archambeault DVM veterinary services DocuSign Envelope ID:9937DF18-1C51-4D9B-95B2-08C609E00193
GRANGE COUNTY-DEPARTMENT USE ONLY
PartyNendor Name: Mikaela Archambeault. DVM Party/Vendor Contact Person: Mikaela Archambe_ault, DVM
Contact Phone: 9I9-434-9725 Party/Vendor Address: 836 Ember Drive City Durham State: NC Zip: 27703
Department: Animal Services Amount: 5,000(total amount for all 3 vets not to exceed 50,150 for combined budget
codes for the fiscal yeaJr Purpose: VeterinaKy Services Budget Code(s): 10215020 629010 and 629004 Vendor#
(NIA if new vendor) Vendor is a BOCC consultant? Yes❑No® Contract Type: (Check one)New❑
Renewal® Amendment ❑ Effective Date 07/01/19 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:
LE
cuSigned by:
1 ftaffb 7/16/2019
Department Director's Signature Date:
B581]5B7DD482...
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 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:
D Sig d by:
Office of the Risk Management Officer��sa ('owu{fo Date:7/17/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act:
D S g d by:
-Office of the Chief Financial Officer Date: 7/17/2019
�'7D3E
Legal Services
This agreement is approved as to legal form and sufficiency:
DocuSigned by:
7/17/2019
of the County AttorneyCOfficekt,Awit, �Sco Date:
079A4D525COF4FB.
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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:_
Rev. 6119