HomeMy WebLinkAboutR 2019-750 Animal Svc - Bethany Walters DVM veterinary services DocuSign Envelope ID:26FFAC14-685F-4DB8-985B-761D8D052080
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Bethany Walters, DVM PartylVendor Contact Person: Bethany Walters, DVM_ Contact Phone:
919-614-3073 Party/Vendor Address: 4418 Cottendale Drive City Durham State: NC Zip: 27703 Department:
Amimal Services Amount: 2,500 Purpose: Veterinary Services Budget Code(s): 10215020 629004 Vendor li NIA
(NIA if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal
❑ Amendment ❑ Effective Date Octboer 1,2019 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:
❑ Se b,:
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Department Director's Signature Date:
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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 onl),to hardwarelsofhvare 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:
❑ 58 dhy
Office of the Risk Management Office Q�s, �Z o Date:10/11/2019
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
❑ s,z by:
Office of the Chief Financial Officer11
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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"Lt` `fit tbsca Date:10/11/2019
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Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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:
Revised 12119 4