HomeMy WebLinkAbout5.1007 Original ContractAnimal Transfer Agreement
Olympic Animal Sanctuary
EIN: 26-0886993
The following AGREEMENT is entered into by Olympic Animal Sanctuary, hereinafter referred to as
'the Sanctuary', and the City of Port Angeles Animal Control Authority, hereinafter referred to as 'the
Client', on this 15th day of March, 2010.
WHEREAS the Client has elected to transfer custody of one or more animals to the Sanctuary, NOW,
THEREFORE, the Sanctuary and the Client hereby agree to the following:
1. The Client hereby releases all rights of ownership and transfer into the custody of the Sanctuary the
animal(s) described herein (use additional pages if necessary):
Animal 1:
Name: Jack Species: Dog
Breed: Lab Mix Color: Black and tan
Sex (check one): _X_Male _Female _Unknown Age: Spayed/neutered: _Yes No
Canines only:
Has the animal been tested for heartworm? _Yes No
If yes, the result was _Positive _Negative
Is the animal currently receiving heartworm preventative? _Yes No
Brand:
The animal has resided in the vicinity of Port Angeles , WA for 2 months.
City Stale
Additional health concerns (all species):
Unknown
2. The Sanctuary hereby accepts ownership of and full responsibility for the animal.
3. The Sanctuary shall provide the animal(s) with lifelong care, including appropriate food, shelter,
exercise, veterinary care, conditioning, and socialization, so as to constitute a high quality of life.
a. In the event that the Sanctuary is unable, due to financial crisis or other unforeseen
circumstances, to provide the animal(s) with the care described herein, the Sanctuary will (check one):
_attempt to restore custody of the animal(s) to the Client before seeking permanent placement for the
animal(s) elsewhere.
_X_seek permanent placement for the animal(s) elsewhere, at the Sanctuary's sole discretion.
b. The animal(s) may be destroyed only as an act of euthanasia for the purpose of relieving
suffering due to untreatable injury or illness, at the sole discretion of the Sanctuary. The animal(s) will
not be destroyed for reasons relating to behavior, treatable injury or illness, or other inconvenience.
4. The Sanctuary shall provide the Client with reports of the animal(s)' physical and psychological
health at the request of the Client, within a reasonable time from the receipt of the request.
5. The Client shall provide the Sanctuary with any history or information at its disposal pertaining to
5.1007
the animal(s), including veterinary records, incident reports, police reports, etc.
6. The animal(s) shall become the sole responsibility of the Sanctuary at such time as physical
possession of the animal(s) is taken; prior to the physical transfer of custody, the animal(s) shall remain
the legal responsibility of the Client. The Sanctuary shall not be liable for any incident(s) involving the
animal(s) prior to the physical transfer of custody to the Sanctuary or its agent(s). The Client shall not
be responsible for any incident(s) involving the animal(s) after the physical transfer of custody to the
Sanctuary or its agent(s).
7. The transport of the animal(s) to the Sanctuary shall be the responsibility of (check one):
_X_the Sanctuary the Client
8. The Client shall provide the Sanctuary with the following (check all that apply):
_A construction fee of $0.00 per animal
_A monthly sponsorship fee of $0.00 per animal, paid by the fifteenth of each month, for a period of
month(s)
_A flat sponsorship fee of $0.00 per animal
A health insurance policy for each animal
_Agreement to pay for any veterinary expenses incurred on behalf of the animal(s) within the first _
year(s) of the date of this Agreement, with the exception of physical injuries sustained by the animal(s)
while in the custody of the Sanctuary
_A transport fee of $0.00
9. The Client shall be allowed visitation of the animal(s) at the Sanctuary's discretion; all visits must be
arranged in advance.
AGREED AND ACCEPTED BY
Sanctus i,, -
Name: p,./ c J1 9R,4J of. L
Title: rKG corn vs tjr a.-r crtai
Client:
Name:
Title:
C
GPI t C E i OF cif -- d0 (.cc L
Release of Ownership
I, Matthew Sims, am the owner of a male, black and tan, lab -mix dog, named Jack. The
dog is currently in the custody of the Clallam County Humane Society. Jack has been declared a
dangerous dog by the City of Port Angeles.
1 unconditionally surrender the above animal to the care and control of the City of Port
Angeles. I understand that the City of Port Angeles may dispose of this animal by whatsoever
means it deems advisable, including euthanasia (humane death). It is expressly agreed that the
City of Port Angeles, including its officers and employees, will not incur any liability to me of
such disposition of Jack.
I release the City of Port Angeles from all liability for, and assume all responsibility for
any and all damages of any nature whatsoever arising from my ownership or custodianship of
Jack prior to my surrendering Jack to the City of Port Angeles.
Owner:
Address:
Signature:
lJfl ?�f 0-4-c" e F
Phone Number:
Cit 4- Zip: 9 2
PLED
MAR1
CLALLAM COUNT`(
DISTRICT COURT #1
03/11/10 THU 14:14 FAX 360 417 2403 DISTRICT COURT
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4 IN.THE DISTRICT COURT :L OF THE STATE OF WASHINGTON FOR CLALLAM
COUNTY
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8 Matt B. Sims,
9 Plaintiff,
10 vs .
11 City of Port AngeLes
12 • Defendant
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This matter name on for hearing on March 4, 2010; the
parties being present and the court having heard argument, and
being .fully advised, Now, Therefore,
IT HEREBY IS ORDERED AND DECREED, that the declaration made
in thi0 matter on March 4, 2010, declaring the subject animal
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Jake td be "dangerous ", should be, and the same hereby is,
affirmed.
DONE this "{ day of . "4tf , 2010.
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Rick Po
Judge
No. Y10 -101
ORDER AFFIRMING DECLARATION
OF DANGEROUS DOG
•
F 1 LED
MAR 4 2010
CLALLAM COUNTY
DISTRICT CT #1
Rick Porter, Judge
Clallam County District Court I
223 East 4th St., Suite 10
Port Angeles, WA 98362
360 -417 -2560 Fax 360- 417 -2403
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