HomeMy WebLinkAbout2012-052 AMS - Brown Brothers Plumbing & Heating Co Inc $6,000s ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: 1 Department, IT, Risk Management, 4 Financial Services, Attorney, Manager, Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
detennlnes 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 being routed for signature.
Department
P rty endor Name: Brown B others PlgmbiM'& Heating Company, Inc. Party Nend r Contact Person: Jeff Addison Contact Phone:
919- 220 -2554 Party 'endor Address: PO Box 1 Xt I uilai i " "-8tate: IBC Zip; 27704 Department: AMS Amount: $6,000.00
Purpose: Plumbing Scope for Jail Kitchen Renovations Budget odes : 1050710 - 7150 - 0-00-800000 Vendor �# 35730 (NA if new
vendor) e n d o r is a f_30 r it � -Y -'ETN Contract Type: (Check one New ~Renewal ❑ Amendment El Bff cti c
Date 3/5/12 Approved by Board Yes❑ NoN Agenda Date: 'Title of Contract:
If this is a Grant Agreement, pro - application has been approved by the Board of Conunissioners Yes'❑ No[]. If submitted for bid were
bidslRFPs received Yes❑ NoE Bid R P number This contract has been reviewed and approved by the Department Director as to
technical content-
Department De rta ent Director's Signature: 46�m� Date:
IT Director
(,4pplicahle only to ardwarels f ari purchases or related set-vices) This contract has been previewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: � ��.........--- ...... Date:
Risk Management
Include the following coverages: �C L; Auto; ; [:1 Professional; RTroperty; OR No Insurance Required El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risli Manager's Signature: �� Date: 2 ` 2�
Financial Services
This Contract is condition d pon appropriation by the Board of Commissioners Ye ❑No A budget amendment is necessary
before approval Yes❑ No If budget amendment is necessary, please attach to this form. his instrument has been pre - audited in the
manner required by the Loca Govermnent Bu and Fiscal Contr Act:
Financial services Director's Signature:
Date.
County Attorney
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: /,7
Attorney's Signature A44X V.A Date:
W IF
County Manager
This contract has been previewed and is approved by the County Manager Yes o❑.
This contract has been previewed and 1s for signatu • by the air Yes ❑Nof?",
Manager's Signature: Date:
_
Clerk to the Board
Approved by BCC on the day of - -- - _ _ _ _ 520 ub ed for Chair signature on the d y of ,
1 ;`2
Clerk's Signature: Date-
Revised November r 2 011