HomeMy WebLinkAbout2012-100 S AMS - N.I.C.E. and Green for Flooring and Wall Renovations Sportsplex Locker Room $109,900 ;201. 1
ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management, (4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk Q'
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: N.I.C.E.and Green PartyNendor Contact Person: Chris Weske Contact Phone:336-404-9197 PartyNendor
Address: 1183 University Drive,#105-113 City Burlington State:NC Zip:27215 Department:AMS Aiwa:$109,900 Purpose:
Flooring and Wall Renovations for Triangle Sportsplex Locker Rooms Budget Code(s): 535 30030 803000"Vendor#60940 (N/A if
new vendor) Vendor is a BOCC consultant? Yes❑No Contract Type: (Check ope New ® Renewal ❑ Amendment ❑
Effective Date April 27,2012 Approved by Board Yes❑No Agenda Date:t 21141((Title of Contract:
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoZ. If submitted for bid were
bids/RFPs received Yes Non Bid/RFP number 1651This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: g- 4-, Date: 4' .77 (Z,-/
IT it ctor
(Applicable only to hardware/software purchases or related service This contract has been reviewed and approved by the Information
Technology Director as to technical content and information techn og pecifications:
IT Director's Signature: Date:
Rik Management
Include the following coverages: LGL; uto; F WC; ❑ Professional; a '�roperty; OR No Insurance Required E. Hold
Contract pending receipt of Certificate of Insurance E. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: t Date: y' 7j 7' (Z-,
R.ec`d 3 a et1 ..f/.zt,k.
Financial Services
This Contract is condition d pon appropriation by the Board of Commissioners Yes❑No A budget amendment is necessary
before approval Yes❑ No If budget amendment is necessary,please attach to this form. Thi instrument has been pre-audited in the
manner required by the Loca Government Budget and Fiscal Control t:
Financial Services Director's Signature: Date: L
-+ . -1-isol i z g �( I 3
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 ManagerV'(Most other contracts$1,000 and above). Department Director approval only ❑ (Under
$1,000). This contract has been reviewe nd approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:
County Manager
This contract has been reviewed and is approved by the County Manager Yea 1C-1-
This contract has been reviewed and is for signature by the Chair Yes❑N
1
,
Manager's Signature: � ' 1 4 Date: 51- (- (2.---
r to the Board
Approved by BOCC on the day of ,20 .' Submi ed for Chair signature on the d y of ,20 .
')-...//l Date: 2-
Clerk's Signature: �_
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Revised March 2012