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HomeMy WebLinkAbout2012-095 S AMS - Brown Brothers Plumbing $6,585 / ' - ~ , �2/d,-0q5 r -u' ORANGE COUNTY—CONTRACT CONTROL SHEET ~� - - - Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)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 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: Brown Brothers Party/Vendor Contact Person: Jeff Addison Contact Phone: 919-220-2554 PurtyNeudor&ddrxo: Roxboro Rd City Durham State:NC Zip: 27704 Department: Asset Management Services Amount: $6,585 Purpose: Supply& installation of Backflow prevention valve,pressure reducing valve ai'd enclosure, "ci-auuched "untu/ion. Budget Code(s): 570000 Vendor#3j730 new vendor) endor is a BOCC consu tant. ~nu • No Contract Type-FCC-heck one)New E Renewal Amendment El Effective Date Approved by Board Yoo0No[X] Agenda Date: Title of Contract: If this is a Grant Agreement, pre-application has been approved by the Board of Commissioners},e»0NnFl. If submitted for bid were bido/DFPx received Yeo0Nn0 Qid/QFPnumbcr This contract has been reviewed and approved by the Department Director as to technical content: Department Director's Signature: 6-k' CPI� Date: q'z4/./3--' IT Director (Applicable only to hardware/software purchases or related services)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 Management Include the following coverages: lirCGL; ; ; El Professional; rrty; OR No Insurance Required El. Hold Contract pending receipt of Certificate of Insurance E]. With incorporation of Insurance provisions as obovm. this contract is approved by the Risk Manage : Risk Manager's Signature: f 4—�" " Date: Li-��q'/3/ . oM�cc '� 3 8Lo*v� � -�o ��/z 5//I' � d + �/�/�� �v ��°�"^^°� /16,1 �/-1P -7"D a- �/J Vr (C-ow-1'1'14-4~ ' Financial Services This Contract is conditioned ponoppvnpdubnnhythcBomdo[Conmmioviuue, `�es��l� . �\ b"dgo amendment � ococonry before approval`ye»�� l�o�O. If budget amendment is 000esoary, please attach to this form. his instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Kv / Financial Services lNirector`oSignature: x�. Date: 4Y���//��___ County Attorney Approval by Board 11] (Contracts $90,000.08 or more for goods or services, $250,000.00 or more for construction, or any BOCC consultant contract). Approval by Manager 0 (All other contracts). This contract has been reviewed and approved by the Attorney as to legal form and sufficiency: ,, / �� l Attorney's Signature Date: ��1�/2 � ' County Manager This contract has been reviewed and io approved hy the County Manager Yus[] moFl. This contract has been reviewed and is for sign uir Yes0lNo27 � Z--'----0�mmagor`m Signature: • Date: ^ -*. ~/~v- L �Y C • to the Board Approved by BOCC on the day of 20 Submitted K/rChuiroi�nuturc on __,20 . Clerk's Signature: ar /, Date: ~� / f(/ '_~ Revised November 2011