HomeMy WebLinkAboutR 2020-268 Animal Svc - PetHealth Inc. Chameleon data DocuSign Envelope ID: DA42AO9B-3AOD-4C9A-91F3-5A132AF24C9B
ORANGE COUNTY-DEPARTMENT USE ONLY
Party/Vendor Name: Pethealth INC Party/Vendor Contact Person: Guinn Mcmillion Contact Phone: 630-337-5373
Party/Vendor Address: 710 Dorval Drive, Suite 310 City Oakville State: Ontario Zip: L6K 3V7 Department:
Animal Services Amount:$00 Purpose: To release data to the PetHealth Budget Code(s): n/a Vendor#n/a (N/A if
new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑
Amendment ❑ Effective Date 4/23/2020 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:
Docu5igned by:
166 6�.t�YW6 4/23/2020
Department Director's SignatureC9B58115B7DD482 Date:
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 hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
DoCuSigned by:
[SW i4�
Office of the Chief Information Officer Date: 4/23/2020
C,16ADi E73AfMDF...
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications,and requirements:
Office of the Risk Management Officer[uso, ��b Date: 4/24/2020
7FDCF3170,3p0406...
Financial Services
This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act:
D—Sig-d by:
2 4/24/2020
Office of the Chief Financial Officer Date:
7D4E51II1ACCi400...
Legal Services
This agreement is approved as to legal form and sufficiency:
❑ Signedfi 6y:
r, -b Q�
Office of the County Attorney Date: 4/24/2020
079A4D525MF4F3...
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 11/19