HomeMy WebLinkAbout2012-001 S AMS - Mackem Construction Company $7,950*1 .,., \
ORALNGE COUNTY—CONTRACT CONTROL SHEEN'
Routing Order: l Department, IT, Risk Management, 4 Financial Services, Attorney, Manager, 7 Clerk
This Document shalt accompany all contracts and. shall be submitted for signature in the Routing Order specified above. lfthe Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for B CC approval. Contracts for
BO CC approval must be. submitted through, and complete, the routing process prior to agenda review. Contracts for legal review should
be'completed through the legal review process prior to behig routed for signature.
_ � e artt
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Party vendor Name: Mad em Construction Co n.pan r Party/Vendor Contact Person: Ian Dalton Contact Phone; 91 9- 428 -5826
rty endor Address: p 0 Box 1205 City C rr ro State: ITC Zip: 27510 D ep -tment : AMS Amount: $7,950, 00 Purpose:.Child
Support Enforcement Upfit, West Campus Office n idling Budget Codes ; 10240330 -- 00 vendor 60587 (N/A if new vendor)
endor is a BCC consultant? Yes o Contract Type: (Check one) New Renewal El Anmendmeut' Effective Date
1/9/2012 Approved by Board Yes[] N Z Agenda Date: Title of Contract: CSE pf"�t Construction
Ifthis is Grant-Agree gent, pre-application .has been approved by the Board of Co issione�rs Yes No 0. If submitted for bid were
bids /,G`I's received e No Bid �F number This contract has been reviewed and approved by the Department Director s to
technical content:
Department Director's Signature- Date: 2
IT Director
(Applicable only to hardwarelsoftivare purchases or related i i s) This contract has been reviewed and approved b the Informatlo
Technology Director as to technical content and information technology specifications:
IT Director's Signature:
Date:
Risk Management
Include the following coverages: 9--CGL; �A-ato,* [3-WC; El Professional; 0 Property; OR No Insurance RequiredEl. Hold
Contract pending receipt of Certificate of Insurance . With incorporation of Insurance provisions as shown, this contract is approved
by the Risk 1 lahh ger:
Risk Manager's Si rrxat r : Date:
1AA k
Financial Services
This Contract is conditioned pen appropriation by the hoard of Commissioners esITo budget amendment is ncss
before approval YesE] No If budget amendment i necessary, please - 'attach to this forte.. This instrument has been pre - audited
manner required by the Local ovenunent Budget and Fiscal Control ct:
Financial Services Director's mature; Dates
County A,ttorrn
Approval by Board Ej Contracts 90, 0 00. 0 or more far goods or services, $25 0,000.0 0 or more for construction, or any B CC
consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorn
t legal farm and sufficiency:
.attorney's Signature
J�44jl., Date: I/ /
S
CounLy Manage;
This cor tra t has been reviewed and is approved by the County Yanager e oE1.
�
This contract has been reviewed and is for ignaty to C a' s No ,
Manager's Signature:
Approved by BOCC on the
Clerk's Signature;
Revised d Nov b r 2011
Date: I
' 27 #W I -10�
eer1 .
o the Board
day o = - -- —Submitted for Chair signature on the
Date:
day of 0
t