HomeMy WebLinkAbout2012-020 AMS & 5th Wall LLC $23,500Y� n
ORANGE COUNTY CONTRACT CONTROL SHEET.
µ ..outing Order: l Department, 2 IT, Risk Management, 4 Financial Services, Attorney, Manager, 7 Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
detenni es 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 review. Contracts for legal review should
be completed through the legal review process prior to bei g routed for signature.
Department
Party /Vendor Name: "' wall, LLC Party /Vendor Contact Person- Jeff Spady Contact phone: 919-616-4715 Party ndor Address:
9601 Baileywicl City-Ra erg fate: NC Zip: 27815 epartment: Asset Management Services Amount: 2 3.,500 Purpose. Preparation
of =asset e B dgct d s : 1 7 7 -� e �
...... (N/A if e vendor ) Vendor is a BOW—-
consultant? Yes ❑ Noo Contract Type: (Check one) New [E Renewal ❑ AmendmentEl Effective mate Approved by
Board Yes❑ NoZ Agenda Date: Title of Contract:
If this is a Grant Agreement, pre - application has been approved by the Board of Commissioners Yes❑ Igo ❑. If submitted for bid were
bids R Ps received Yes❑ No❑ Bid/RFP number This contract has been reviewed and approved by the Department ent Director as to
technical content:
Department Director's Signature: Date: -
lh'rer
(,4pplicable only to hardwarelsoftware pu drams or related rvi s% his contract has been re vie wed and approved b the Information
.
Tec nology Director as to technical content and information technol ecification :
IT Director's Signature:
fate:
Risk Management
Include the following coverages: GL; Auto; 2 "WQ Professional; Ej Property; OR No 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: Date: �- • �
Financial Services
This Contract is condition d pon appropriation by the Board of Commissioners Yes ❑No . A budget amendment is necessary
before approval Yes[:] Not& If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the
manner required by the Local `rover rent Budget and Fiscal Control Act:
Financial Services Director's Signature*_ P, mate:
Counter Atturn
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction or an y BOCC
rtzA
consultant contract). Approval by Manager (All other contracts). , This contract has been reviewed and approved b y the Attomey as
to legal form and sufficiency:
Attorney's Signature Date; �
County Manner
This contract has been reviewed and is approved by the County Manager Yee'o❑.
This contract has been reviewed and is for signature by t hair- Yes ❑No '
Manager's Signature: date:
J
Approved by BOCC on the day of
Clerk's Sinatu re:
Reprised November 2011
tray to the Board
20 Submitted for Chair signat r on the day of , 20