HomeMy WebLinkAbout2012-056 AMPS and FloorChem Inc $6,348u ORANGE COUNTY—CONTRACT Y ��� -►�T ��T1� ��� � y
Routing Order: Department, 2 IT, Risk Management, 4 Financial Services, Attorney, Manager, 6fe_"r:k
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 ger shall submit the contract for BOCC approval. Contracts for
BC approval must be submitted through, and complete, the routing process prior to ageinda review. Contracts for legal review should
be completed through the legal review process prior to being rotted for signature.
Department
Party Nendor Name: EloorCkem i PartyNendor Contact Person: Anita Brack Contact Phone: 919-854-9776 Party end r
Address: 200 Powell Drive City Raleigh State: NC Zip: 27606 Department: Albs Amount: $6,348.00 Purpose: `leoring removal and
repl r Jail Kitchen Renovations Budget Code(s): 10240320 -6 0 er- or # '7 2 new vendors ...- ....�:
-
B consultant? Yes .... � �: en
ontraet Type: (Cheek one) Never Renewal El Amendment El Effective Date 3/5/12 Approved
by Board Yes❑ NoN Agenda Date: Title of Contract:
If this is a Grant Agreement, pre-application has been approved her the Board of Commissioners Yes❑ No[]. If submitted fog• bid were
bids/RFPs received Yes❑ Noo Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's i nat€rre: ate.
: Z_d
IT Director
(,4pplicable only to hardwarelsof1ware r cha ' .s or related srvi 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:
Risk Mane ement
Include the following coverages: 9"'C'GL; [ [ Ej Professional; �Property; OR No Insurance Rqquired . Hold
Contract pending receipt of Certificate of Insurance ❑ . with in orporation of Insurance provisions as shown, this contract is approved
by the Risk Manager:
Risk nature. '
ers
Mana
g ;A Date.
Financial Services
This Contract is conditic ne p n appropriation by the Board of Commissioners Yes[:]Nolw. A budget amendment is necessary
before approval Yes[:] NoLAI. If budget amendment is necessary, please attach to this form. This instrument has been pre - audited in the
manner required by the Local Govermnent Budget and Fiscal Control Act:
Financial Services Director's Signature: � Date: �� 2 �
County .A►ttorne
Approval by Board [I (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 K] (All other contracts). This contract has been reviewed and approved by the Attorney as
to legal fo1•n1. and au eiency:
Attorney's Signature
County Manner
This contract has been reviewed and is approved by the County Manager Ye 0'No ❑.
This contract has been reviewed and is for signature by the Chair Yes ❑Nn ° r.
Manager's Signature:
Approved by BOCC on the
Cleric's Signature:
Revised November 2011
Date: 316
Date: �g " 7,
Clerk to the oard
day of , 20 Sub ed for Chair signature n the day of , 20
Date: IL