HomeMy WebLinkAbout2012-012 S AMS - 5th Wall LLC for roof replacement design services at Court Street Annex $7,4002012,-- �-
ORANGE COQ
Routing Order: 1 Department, 2 IT, 3 Risk Management, 4 Financial Services; Attorney, Manager, '7 Clerk
This Document shall accompany all contracts and shall be submitted for sig��ature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through, and complete, the routing process prior to agenda revie w. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name- " Wall, LLC Patty/Vendor Contact Person; Jeff Spay Contact Phone: 919-616-4715 Par /Vend
� or Address:
9601 Balleywick Road City Raleigh State: NC Zip: 2761 I epai tment: AMS Amount: $7460 Purpose- Roof e �ace�x�er�t
r s or Coup - &rpett Annex Budget Codes :.. - . 7W 5- 0- 30002. vendor 58369 (NA ifne r vendor`) vendor is a
consuItant`? Yes 0 No Contract Type: (Check one) New � Rene tal El Amendment ❑ Effective Date 01726/2012
Approved by
Board YesEl NoEl Agendas fate: Title of - ontract:
If this is a Grant Agreement, pre- application has been approved by the Board of Commissioners esE] l o . If submitted for bid e re
bids RFPs received Yes❑ o❑ f id RFP number This contract has been reviewed and 'approved by the Department Director as to
technical content:
}
Department Di rectors Signature: Date:
IT Director
(Applicable onl � to hardwa •e yls fivi;ar purchases or related s i r s) This contract has been reviewed and approved by the Tnfonnatio
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date:
Risk Manaeement
Include the following coverages; ❑ CG L; Auto; WC; Pi'-P ofessi a
Required
Hold g r
Contract receipt of Certificate of lnsurance incorporation of Insurance provisions a shown thi s contract r approved W
by the Risk Manager:
Risk Manager's Signature: Date;
/�Ivc lee ci/
Financial Services
This Contract is conditioned -upon appropriation by the Board of Commissioners Yes❑ I budget amendment is necessary
before approval Ye Ej I oo. If budget amendment is necessary lease attach to this form. This instrument uen has been Pre-- audited in the
manner -required by the Local Government Budget i)d Fiscal Control Act:
Financial Services Director's Signature: ceave-,4- 0, Date: 12
Countv Attorne
Approval by Board ❑ (Contracts $90,000.00 or more for ..goods or services, $250,000.00 or more for construction or any BOCC
consultant contract). Approval by Manager (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal form and sufficiency:
Attorney's Signature CA Date-
County Manager
This contract has been reviewed and is approved by the County Manager YesEVNoFl.
This contract has been reviewed and is for si nat by the hair Yes[:]Nop--
Manager's Signature: Date:
Clerk to the Bo -d
Approved by BOCC on the day of , ubmitt fo hair signature on the da f 20
Clerk's Signature:
late. . 2
Reprised November 2011