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HomeMy WebLinkAbout2012-017 S AMS - Warren Hay Mechanical Contractors, Inc $13,080# 4 k ORANGE COUNTS CON TRACT CONTROL SHE � Routing Order: 1 Department, 2 IT, 3 Risk Management, Financial Services, 5 Attorney, l a ag r, Clerk This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. if the Manager determines the contract is not appropriate for Manager approval the Manager shall submit it the contract for BOCC approval. Contracts for BOCC 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 being routed for signature. Department Party/Vendor Name: Wage n -Ham cchanieal 2nstraet s, hw. Part Ne dor Contact Person: Larry warren Contact Phone: 919 -732- 43 62 Party end r Address: 214 Millstone Drive City Hillsborough State: NC Zip: 27278 Department: AM S Amount: 3 Purpose: Cage rd r #i : suitable structural fill for Link geothermal well field due to unsuitable soils Budget Co des : 613 7003 5 880000-30035 Vendor ff 25352 (NW&IT—fie ca r 1i s a C7C tant"? des ❑ N o M C o n tra c t T p : (Cheep one) N El Renewal ❑ Amendment 0 Effective Date 9/19/2011 Approved by Board YesM N ❑ Agenda Date: 91812011 Title of Contract: Govermnent Services Center HVAC Installation -- #30035 Link If this is a Grant Agreement, -pre - application has been approved by the Board of Commissioners Yes❑ No❑. If submitted for bid were bi s FPs received YesM N ❑ Bid P number 5 168This contract has been previewed and approved by the Department Director as to technical content: Department Director's Signature: Date: k IT Director (4pplicable only to hardwarelsqj?ware purchases or related t i s) This contract has been reviewed and approved by the Information Technology Director as to technical content and information technology specifications: IT Director's Signature: Date: Rash Ma n agem ent Include the following coverages: [E` GL; Auto; E'VC; ❑ Professional; [RTroperry; OR o' Insurance Required ❑. Hold Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved by the Risk Manager: Risk Manager's Signature: tc: 0� ` :5 . t &0 I� C 2 . Financial Services This Contract is conditioned upon appropriation by the Board of Commissioners Yes ❑loo A budget arnendr ent is necessary before approval Yes❑ lo, if budget amendment is necessary, please attach to this foray. This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control Act: Financial Services Director's Signature: )j* Date: 2 (o( I L ounty Attorney Approval by Board [:] (Contracts $90,000.00 more for goods or services, $250,000.00 or more for construction, r any BOCC consultant contract). Approval b manager (All other- contracts). This contract has been reviewed and approved by the Attorney as to legal fonn and sufficiency: Attorneys Signature ]ate County Manner This contract has been reviewed and is approved by the County Manager Ye ❑ o❑ . This contract has been reviewed and is for signature byjhp Chair Yes❑ o - . Manager's Signature: Approved by on the � day of Clerk's Signature: Revised November 2011 Date: -.J } le to the Board F r Submitted for chair ignr e ay of 2 ....__ . Date: .,